Provider Demographics
NPI:1427032796
Name:DIAMOND, PAUL C (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:DIAMOND
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Gender:M
Credentials:DO
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Mailing Address - Street 1:9970 CENTRAL PARK BLVD N
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-2236
Mailing Address - Country:US
Mailing Address - Phone:561-487-1203
Mailing Address - Fax:561-487-1251
Practice Address - Street 1:9970 CENTRAL PARK BLVD N
Practice Address - Street 2:SUITE 205
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-2236
Practice Address - Country:US
Practice Address - Phone:561-487-1203
Practice Address - Fax:561-487-1251
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2010-09-24
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Provider Licenses
StateLicense IDTaxonomies
FLOS0004136207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82402UMedicare PIN
FLD60629Medicare UPIN