Provider Demographics
NPI:1902115116
Name:SAID, DIANNE A (L AC, DOM, AP)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:A
Last Name:SAID
Suffix:
Gender:F
Credentials:L AC, DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 N COURTENAY PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-4475
Mailing Address - Country:US
Mailing Address - Phone:321-252-3720
Mailing Address - Fax:
Practice Address - Street 1:1395 N COURTENAY PKWY STE 202
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-4475
Practice Address - Country:US
Practice Address - Phone:321-252-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2871171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist