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Organization

AFFILIATED HEALTH CLINICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DYLAN DINESH M.D. (OWNER)
(727) 322-4227
Entity
Organization

Contact information

Practice address
1515 22ND AVE N, ST PETERSBURG, FL 33704-3113
(727) 322-4227
Mailing address
1515 22ND AVE N, ST PETERSBURG, FL 33704-3113
(727) 322-4227

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QS0010X
Sports Medicine (Family Medicine) Physician
208M00000X
Hospitalist Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019761700
FL
01
BT37F
BCBS
Enumeration date
11/22/2016
Last updated
01/29/2025
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