IndividualActive
Mark Diebel
NPI 1932455136 · Trauma Surgery Physician · Jacksonville, FL
Provider details
- NPI number
- 1932455136
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- ME132260 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11945 San Jose Blvd
Jacksonville, FL 32223-1613
Phone: (904) 398-0033
Fax: (904) 398-6774
Approximate (ZIP-level) locationGet directions
Mailing address
11945 San Jose Blvd
Jacksonville, FL 32223-1627
Registry dates
- Enumerated
- 2012-07-25
- Last updated
- 2019-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.