Individual
DR. SETU A DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2402 FRIST BLVD, SUITE 204, FORT PIERCE, FL 34950-4838
(772) 462-3939
(772) 462-3938
Mailing address
2402 FRIST BLVD, SUITE 203, FORT PIERCE, FL 34950-4838
(772) 462-3939
(772) 462-3938
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34.008816
OH
2086S0102X
Surgical Critical Care Physician
Primary
OS 10402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000431300
—
FL
01
—
P00691798
RR MEDICARE
FL
Enumeration date
04/07/2008
Last updated
06/15/2009
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