Search › Florida › 367500000X
James Dieckman, CRNA
NPI 1619250404 · on the registry since 2011
Practice
- Address
- 1304 Oak St
Melbourne, FL 32901 - Phone
- (321) 723-4723
- Fax
- (321) 727-1448
- Organisation at this address
- Brevard Anesthesia Services Pa
The Stingl Family Foundation, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida