# ELIE DUMENY JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659300887
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | ME69459 | FL | — |
| 207V00000X | Obstetrics & Gynecology Physician | ME69459 | FL | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 01/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119962300 | — | FL |
| 01 | — | 2170009 | UNITED HEALTHCARE OF FL | FL |
| 01 | — | 27931 | BCBS | FL |
| 01 | — | 3369576 | AETNA | FL |
| 05 | — | 379130100 | — | FL |
| 01 | — | 51-0496988 | TAX ID | FL |
| 01 | — | 5470 | TOTAL HEALTH CHOICE | FL |