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NPI Code Detail

MEDICARE: JOHN R DYLEWSKI M D P A

MEDICARE: JOHN R DYLEWSKI M D P A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianME0063942FL
2207RC0001XClinical Cardiac Electrophysiology PhysicianME0063942FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912965666
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN R DYLEWSKI M D P A
Provider Business Mailing Address
First Line : 6476 SW 118TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33156-4800
Country : US
Telephone Number : 305-796-6082
Fax Number : 305-663-0236
Provider Business Practice Location Address
First Line : 6705 RED ROAD
Second Line : SUITE 500
City : CORAL GABLES
State : FL
Zip : 33143
Country : US
Telephone Number : 305-662-2530
Fax Number : 305-662-2375
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN RICHARD DYLEWSKI
Credential : M.D.
Telephone Number : 305-796-6082
Provider Enumeration Date : 05/03/2006
Last Update Date : 11/01/2018

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Directions to “JOHN R DYLEWSKI M D P A ” Practice Location

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