Individual provider · Type 1 NPI

Michael Anthony Dimaria, PA-C

Medical Physician Assistant · Viera, FL

NPI number 1245290337 Active

Practice location

2900 Veterans Way
Viera, FL 32940-8007

Fax (321) 637-3507

Mailing address

2795 Summer Brook St
Melbourne, FL 32940-7141

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9103718 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1245290337

Michael Anthony Dimaria, PA-C's National Provider Identifier is 1245290337, issued on Mar 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Viera, FL. The record was last updated on Jul 9, 2007.