NPI 1083109243
Alexis Dietz, DO
Practice location
- Address
- 915 Middle River Dr STE 209, Fort Lauderdale, FL 33304-3559
- Phone
- (954) 300-1736
- Mailing address
- 2500 NE 21st CT, Fort Lauderdale, FL 33305-3516
Registered specialties
Pediatrics Physician
Primary
Registry record
- NPI
- 1083109243
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jun 2018
- Record last updated
- 12 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.