{"npi":"1780189902","type":"NPI-1","status":"active","name":{"display":"Izadora Diehl MD","other":[{"code":"1","type":"Formerly known as","value":"IZIDORO, IZADORA PORTO"}],"first":"IZADORA","last":"DIEHL","middle":"IZIDORO","credential":"MD"},"specialty":{"primary_taxonomy":"208D00000X","primary_taxonomy_description":"General Practice","slug":"general-practice","schema_org_specialty":"PrimaryCare","all":[{"code":"208D00000X","description":"General Practice","primary":true,"state":"FL","license":"ME165428"},{"code":"208D00000X","description":"General Practice","primary":false,"state":"HI","license":"MD-21547"},{"code":"208D00000X","description":"General Practice","primary":false,"state":"NC","license":"2020-00312"}]},"addresses":[{"purpose":"LOCATION","street_1":"4700 MILLENIA BOULEVARD","city":"ORLANDO","state":"FL","postal_code":"32839","country_code":"US","street_2":"SUITE 175","phone":"7703757568"},{"purpose":"MAILING","street_1":"3065 DANIELS RD # 1138","city":"WINTER GARDEN","state":"FL","postal_code":"347877002","country_code":"US","phone":"7703757568","fax":"8084279892"}],"license":{"state":"FL","number":"ME165428"},"identifiers":[{"type_code":"01","label":"Other","value":"ME165428","state":"FL","issuer":"LICENSE # BY FLORIDA MEDICAL BOARD"},{"type_code":"01","label":"Other","value":"MD-21547","state":"HI","issuer":"LICENSE # BY HAWAII MEDICAL BOARD"},{"type_code":"01","label":"Other","value":"2020-00312","state":"NC","issuer":"LICENSE # BY NORTH CAROLINA MEDICAL BOARD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180720002671","type_code":"33-26","type_desc":"ORDER AND REFERRING ONLY - PSYCHIATRY","state":"NC","pac_id":"0042567091"}]},"enumeration_date":"2018-03-28","last_updated":"2023-11-17","_meta":{"source":"NPPES","snapshot_date":"2023-11-17","doc_url":"https://findmynpi.com/api"}}