# FAMILY PRACTICE ON THE GO OF FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184132888
- **Authorized official:** DR. DAVID HEISE MD (OWNER)
- **Authorized official phone:** (888) 808-0488

## Contact information

- **Practice address:** 226 N NOVA RD STE 184, ORMOND BEACH, FL 32174-5124
- **Practice address phone:** (888) 808-0488
- **Practice address fax:** (386) 872-4232
- **Mailing address:** 735 DUNLAWTON AVE, PORT ORANGE, FL 32127-9226
- **Mailing address phone:** (888) 808-0488
- **Mailing address fax:** (386) 872-4232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME83299 | FL | Yes |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 03/23/2026