Provider Demographics
NPI:1225424815
Name:VOITLE, DIANNE (DOM/AP)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:
Last Name:VOITLE
Suffix:
Gender:F
Credentials:DOM/AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17960 NW 177TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-4769
Mailing Address - Country:US
Mailing Address - Phone:352-240-4018
Mailing Address - Fax:
Practice Address - Street 1:4041 NW 37TH PL STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6112
Practice Address - Country:US
Practice Address - Phone:352-240-4018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3622171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist