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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