Individual
DR. KEVIN LEE DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, REHABILITATION BASEMENT FLOOR, SUITE 105, MIAMI, FL 33136-1005
(305) 585-1326
(305) 585-1340
Mailing address
1611 NW 12TH AVE, P.O. BOX 016960 (D-461), MIAMI, FL 33136-1005
(305) 585-1326
(305) 585-1340
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME99417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2804883-00
—
FL
Enumeration date
09/14/2007
Last updated
06/24/2024
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