Dyer, Elena

Dyer, Elena is an individual health care provider with primary practice located at 1155 35Th Ln Suite 201, Vero Beach FL 32960-6521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Dyer, Elena can be contacted via phone (772) 794-3364.

Contact Information

Primary practice address
1155 35Th Ln Suite 201 Vero Beach FL 32960-6521
Phone: (772) 794-3364
Fax: (772) 794-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME 87421 Florida

Profile Details

NPI number 1871554279
LBN Legal business name Dyer, Elena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Oct 8th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871554279 NPPES
Florida MEDICAID 271222900
Florida Other 52035

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