Provider Demographics
NPI:1457467045
Name:VANHORNE- PADILLA, DIANE CAROL (MD)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:CAROL
Last Name:VANHORNE- PADILLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3259 LAKEVIEW OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3158
Mailing Address - Country:US
Mailing Address - Phone:407-408-9817
Mailing Address - Fax:386-943-3118
Practice Address - Street 1:3259 LAKEVIEW OAKS DR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-3158
Practice Address - Country:US
Practice Address - Phone:407-408-9817
Practice Address - Fax:386-943-3118
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2021-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME116142207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease