Active NPI 1780189902 Individual Practitioner Female Practitioner

Dr. Izadora Izidoro Diehl , MD

General Practice • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Izadora Diehl, MD is a registered healthcare professional specializing in General Practice in Orlando, FL. Practice services are available at 4700 MILLENIA BOULEVARD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4700 Millenia Boulevard
Suite 175

Orlando, FL 32839

Telephone 7703757568

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Orlando, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.4 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

170 Specialists

Practicing in Orlando, FL (2490 Statewide)

Telehealth Adoption Rate

16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-08

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME165428

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License HI MD-21547

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License NC 2020-00312

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License # By Florida Medical Board

ME165428 (FL)

Commercial Insurance / Payer ID License # By Hawaii Medical Board

MD-21547 (HI)

Commercial Insurance / Payer ID License # By North Carolina Medical Board

2020-00312 (NC)

Secondary Practice Locations

5128 Silabert Ave

Charlotte, NC 282057863

Phone: 7703757568

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

📍

Updated Practice Location November 17, 2023

Registered at 4700 MILLENIA BOULEVARD, SUITE 175, ORLANDO, FL 32839 (Tel: 7703757568)

📍

Updated Business Mailing Address November 17, 2023

Registered at 3065 DANIELS RD # 1138, WINTER GARDEN, FL 347877002 (Tel: 7703757568)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2023

General Practice (License #ME165428 in FL)

📍

Updated Practice Location February 20, 2023

Registered at 5128 SILABERT AVE, CHARLOTTE, NC 282057863 (Tel: 7703757568)

📍

Updated Business Mailing Address February 20, 2023

Registered at 3401 E CAMELBACK RD, PHOENIX, AZ 850182401 (Tel: 7703757568)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2023

General Practice (License #MD-21547 in HI)

📍

Updated Practice Location December 16, 2020

Registered at 1002 KOOHOO PL, KAILUA, HI 967343273 (Tel: 7703757568)

📍

Updated Business Mailing Address December 16, 2020

Registered at 1002 KOOHOO PL, KAILUA, HI 967343273 (Tel: 7703757568)

📍

Updated Practice Location April 09, 2020

Registered at 5128 SILABERT AVE, CHARLOTTE, NC 282057863 (Tel: 7703757568)

📍

Updated Business Mailing Address April 09, 2020

Registered at 5128 SILABERT AVE, CHARLOTTE, NC 282057863 (Tel: 7703757568)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2020

General Practice (License #2020-00312 in NC)

✅

NPI Profile Active March 28, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2018

Registered at 501 BILLINGSLEY RD, CHARLOTTE, NC 282111009 (Tel: 7044442400)

📍

Updated Business Mailing Address March 28, 2018

Registered at 4115 CANDLEWOOD LN, CUMMING, GA 300401052 (Tel: 7703757568)

👤

Provider Name / Credentials Updated March 28, 2018

Recorded as IZADORA DIEHL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2018

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 28, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780189902

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 28, 2018

Last Update: November 17, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3065 Daniels Rd # 1138

Winter Garden, FL 347877002

Phone: 7703757568

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.