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Organization
FAMILY PRACTICE ON THE GO OF FLORIDA
Active
Organization
FAMILY PRACTICE ON THE GO OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HEISE MD (OWNER)
(888) 808-0488
Entity
Organization
Contact information
Practice address
226 N NOVA RD STE 184, ORMOND BEACH, FL 32174-5124
(888) 808-0488
(386) 872-4232
Mailing address
735 DUNLAWTON AVE, PORT ORANGE, FL 32127-9226
(888) 808-0488
(386) 872-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME83299
FL
Other
Enumeration date
01/16/2018
Last updated
03/23/2026
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