Individual
ELIE DUMENY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
599 S FEDERAL HWY STE 104, DANIA, FL 33004-4175
(954) 927-2752
(954) 927-6701
Mailing address
599 S FEDERAL HWY STE 104, DANIA, FL 33004-4175
(954) 927-2752
(954) 927-6701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME69459
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME69459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119962300
—
FL
01
—
2170009
UNITED HEALTHCARE OF FL
FL
01
—
27931
BCBS
FL
01
—
3369576
AETNA
FL
05
—
379130100
—
FL
01
—
51-0496988
TAX ID
FL
01
—
5470
TOTAL HEALTH CHOICE
FL
Enumeration date
07/01/2006
Last updated
01/31/2024
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