Individual
DANTE H DEDIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 674-2121
Mailing address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 674-2121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9100093
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9100093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291913300
—
FL
01
—
E3445
MEDICARE PTAN
FL
Enumeration date
08/15/2006
Last updated
12/15/2016
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