Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Dicenso

Individual provider Emergency Medicine Physician · NPI 1821441254

Dr. Michael Dicenso is an Emergency Medicine in Miami, Florida. Qualified in 2016, 10 years ago. Practices with Emergent Physicians of Country Walk LLC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
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Practice location Address checks out

8900 N Kendall Dr
Miami, FL 33176-2118
Phone: (786) 596-1960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4300 Alton Rd, Miami Beach, FL 33140-2948 — (305) 674-2121

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS15661 (FL)

Record details

NPI number1821441254
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2016
Last updated in NPPESNovember 2, 2020
Certification dateOctober 31, 2020
Mailing address11156 Nw 79th Ln, Doral, FL 33178-6012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Emergent Physicians Of Country Walk Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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