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IZADORA IZIDORO DIEHL MD
NPI 1780189902
General Practice in Orlando, FL

Active since March 28, 2018PECOS Enrolled
4700 MILLENIA BOULEVARD, SUITE 175, ORLANDO, FL 32839(770) 375-7568 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2023, Feb 20, 2023, Dec 16, 2020 and 2 more (5 updates tracked since 2018).

About Izadora Izidoro Diehl Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IZADORA IZIDORO DIEHL MD (NPI 1780189902) is an individual general practice provider in Orlando, Florida, licensed in Florida (ME165428) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780189902
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameIZADORA IZIDORO DIEHLCredential: MD
Location Address4700 MILLENIA BOULEVARD, SUITE 175Orlando, FL 32839
Mailing Address3065 Daniels Rd # 1138Winter Garden, FL 34787-7002 · (770) 375-7568 · Fax (808) 427-9892
Phone(770) 375-7568
Sole ProprietorNo
Enumeration DateMarch 28, 2018
Last NPPES UpdateNovember 17, 20235 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1780189902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ME165428✔ Licensed in HI · MD-21547✔ Licensed in NC · 2020-00312
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4700 MILLENIA BOULEVARD, Orlando, FL 32839
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Other Names 1

Former Name (1)Izadora Porto Izidoro

Other Identifiers 3

OtherME165428FL · License # By Florida Medical Board
OtherMD-21547HI · License # By Hawaii Medical Board
Other2020-00312NC · License # By North Carolina Medical Board

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Izadora Izidoro Diehl Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Izadora Diehl's NPI number?

The NPI number for Izadora Diehl is 1780189902. It was assigned to this individual provider in the NPPES registry on March 28, 2018. The provider is also known as Izadora Porto Izidoro.

Where is Izadora Diehl located?

Izadora Diehl practices at 4700 Millenia Boulevard Suite 175, Orlando, FL 32839. The listed phone number is (770) 375-7568.

What is Izadora Diehl's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Izadora Diehl enrolled in Medicare?

Yes. Izadora Diehl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Izadora Diehl was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.