Individual
DR. STEPHEN DINETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
6618
GA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
ME128352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018755600
—
FL
Enumeration date
04/09/2010
Last updated
10/17/2018
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