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Individual

ERIC K. DINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 10TH STREET N., ST. PETERSBURG, FL 33705-1407
(727) 824-7146
(727) 824-7119
Mailing address
620 10TH ST N STE 3D, ST PETERSBURG, FL 33705-1407
(727) 824-7146
(727) 824-7119

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME96738
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277966800
FL
01
ME96738
MEDICAL LICENSE
FL
Enumeration date
09/05/2006
Last updated
03/29/2022
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