Individual provider · Type 1 NPI

Dietrich Werner Idiaquez, MD

Anatomic Pathology & Clinical Pathology Physician · Tampa, FL

NPI number 1578210779 Active

Practice location

12902 Usf Magnolia Dr Dept Of
Tampa, FL 33612-9416

Call (813) 745-4673 Map

Fax (813) 449-8618

Mailing address

PO Box 198441
Atlanta, GA 30384-8441

Specialties and licenses

TaxonomyCodeLicense
Hematology (Pathology) Physician 207ZH0000X152109 (FL)
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102X152109 (FL)

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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About NPI 1578210779

Dietrich Werner Idiaquez, MD's National Provider Identifier is 1578210779, issued on Mar 7, 2022. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Tampa, FL. The record was last updated on Sep 5, 2025.