Individual
ALEXIS DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
915 MIDDLE RIVER DR STE 209, FORT LAUDERDALE, FL 33304-3559
(954) 300-1736
Mailing address
2500 NE 21ST CT, FORT LAUDERDALE, FL 33305-3516
(941) 780-5738
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS17835
FL
Other
Enumeration date
06/28/2018
Last updated
01/12/2023
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