Dedios, Dante H
Dedios, Dante H is an individual health care provider with primary practice located at 4300 Alton Rd , Miami Beach FL 33140-2948. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Dedios, Dante H can be contacted via phone (305) 674-2121.Contact Information
Primary practice address
4300 Alton Rd
Miami Beach FL 33140-2948
Phone: (305) 674-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9100093 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9100093 | Florida |
Profile Details
| NPI number | 1487667929 |
|---|---|
| LBN Legal business name | Dedios, Dante H |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Dec 15th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487667929 | NPPES |
| Florida | Other | E3445 | MEDICARE PTAN |
| Florida | MEDICAID | 291913300 | MEDICARE PTAN |
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