Organization
DONALD H. DEHAVEN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD H DEHAVEN MD (SOLE PROPRIETOR)
(321) 622-8943
Entity
Organization
Contact information
Practice address
8057 SPYGLASS HILL RD, UNIT 104, MELBOURNE, FL 32940-8565
(321) 622-8943
(321) 622-8945
Mailing address
8057 SPYGLASS HILL RD, UNIT 104, MELBOURNE, FL 32940-8565
(321) 622-8943
(321) 622-8945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME035779
FL
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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