Provider Demographics
NPI:1609020098
Name:GITELMAKER, DIMITRI MITCHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DIMITRI
Middle Name:MITCHEL
Last Name:GITELMAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 SUNNY ISLES BLVD UNIT 305
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4399
Mailing Address - Country:US
Mailing Address - Phone:732-266-1399
Mailing Address - Fax:
Practice Address - Street 1:3800 S OCEAN DR STE 230
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2930
Practice Address - Country:US
Practice Address - Phone:732-266-1399
Practice Address - Fax:786-677-8797
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME142875207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine