DR. KEVIN LEE DALAL (NPI# 1013103886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013103886 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LEE DALAL |
| Credential | M.D. |
| Practice Address |
1611 Nw 12th Ave Rehabilitation Basement Floor, Suite 105 Miami FL 33136-1005 |
| Mailing Address |
1611 Nw 12th Ave P.o. Box 016960 (d-461) Miami FL 33136-1005 |
| Practice Telephone | 3055851326 |
| Practice Fax Number | 3055851340 |
| Mailing Telephone | 3055851326 |
| Mailing Fax Number | 3055851340 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2013-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
2592870 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2804883-00 | 05 |
| Street Address |
1611 NW 12TH AVE REHABILITATION BASEMENT FLOOR, SUITE 105 |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286251 | Karen Chitty | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2005-06-21 |
| 1558968263 | Natalie Dinger | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-10-06 |
| 1306452057 | Ryan M Bukhari | Dentist | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1467068155 | Hussien Touny | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1912512310 | Clementina Aurora Cabrera | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-09-11 |
| 1184237265 | Kencya Toussaint | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-28 |
| 1568075976 | Manuel Molina | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-25 |
| 1063025468 | Carlos Federico Moral Ortega | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-25 |
| 1770195919 | Ezekiel Oluwasayo Ijaopo | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-19 |
| 1568070258 | Virosh Dharmadasa | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881991438 | Gabriel Hernandez Sunn | Physical Medicine & Rehabilitation | 1500 Nw 12th Ave, Miami, FL 33136-1051 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396279865 | West Florida Rehabilitation Specialists Inc | Physical Medicine & Rehabilitation | 10144 Arbor Run Dr, Unit 8, Tampa, FL 33647-3566 | 2017-04-12 |
| 1821533316 | Injury Institute LLC | Physical Medicine & Rehabilitation | 944 Arlington Rd N, Jacksonville, FL 32211-5956 | 2016-12-20 |
| 1821400482 | Rehabilitation Health Centers of Florida Inc | Physical Medicine & Rehabilitation | 14495 University Cove Pl, Tampa, FL 33613-3741 | 2014-05-29 |
| 1659714905 | Cara Thomas | Physical Medicine & Rehabilitation | 5305 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2448 | 2013-04-16 |
| 1336131036 | Tie Qian | Physical Medicine & Rehabilitation | 4691 S University Dr, Davie, FL 33328-3817 | 2005-08-18 |
| 1174989214 | Florida Pain & Spine Solutions | Physical Medicine & Rehabilitation | 13117 66th St, Largo, FL 33773-1812 | 2016-01-05 |
| 1750753547 | Rehabmed South | Physical Medicine & Rehabilitation | 8875 Hidden River Pkwy, Ste 300, Tampa, FL 33637-1035 | 2015-10-20 |
| 1669864005 | Joseph Fischetti, Pa | Physical Medicine & Rehabilitation | 2755 W Atlantic Blvd, Suite 103, Pompano Beach, FL 33069-2625 | 2015-02-23 |
| 1750658886 | Ervin E. Bernotus Md, P.a. | Physical Medicine & Rehabilitation | 8625 54th Dr E, Bradenton, FL 34211-9456 | 2011-11-17 |
| 1184874323 | Junney Maria Baeza Dager | Physical Medicine & Rehabilitation | 4302 Alton Rd, Suite 420, Miami Beach, FL 33140-2891 | 2008-09-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.