Provider Demographics
NPI:1942404769
Name:JAMES, DIANNA BERNICE (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANNA
Middle Name:BERNICE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DIANNA
Other - Middle Name:BERNICE
Other - Last Name:MOSELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:77 W UNDERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1122
Mailing Address - Country:US
Mailing Address - Phone:407-649-7400
Mailing Address - Fax:407-649-7429
Practice Address - Street 1:77 W UNDERWOOD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1122
Practice Address - Country:US
Practice Address - Phone:407-649-7400
Practice Address - Fax:407-649-7429
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME138695207V00000X
CAA125990207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology