Individual
ELLIOT DINETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3661 S MIAMI AVE STE 604, MIAMI, FL 33133-4248
(786) 490-5915
Mailing address
3661 S MIAMI AVE STE 604, MIAMI, FL 33133-4248
(786) 490-5915
(561) 420-8550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME128081
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2012
Last updated
03/28/2024
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