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1083109243
ALEXIS DIETZ
FORT LAUDERDALE, FL
NPI
1083109243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL OS17835)
Enumeration Date
2018-06-28
Last Update Date
2023-01-12
Business Address
ALEXIS DIETZ DO
915 MIDDLE RIVER DR STE 209
FORT LAUDERDALE, FL 33304-3559
Phone number: 954-300-1736
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Mailing Address
ALEXIS DIETZ DO
2500 NE 21ST CT
FORT LAUDERDALE, FL 33305-3516
Phone number: 941-780-5738
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