Provider Demographics
NPI:1780730424
Name:MACIAN, DIANA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:MARIA
Last Name:MACIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4270 TAMIAMI TRL E STE 201
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-6887
Mailing Address - Country:US
Mailing Address - Phone:239-580-6106
Mailing Address - Fax:239-423-0770
Practice Address - Street 1:4270 TAMIAMI TRL E STE 201
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6887
Practice Address - Country:US
Practice Address - Phone:239-580-6106
Practice Address - Fax:239-423-0770
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101296207P00000X
FLME127444208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine