Individual
DR. DAVID HEINISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1211 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5201
(321) 406-0881
(321) 735-0235
Mailing address
1211 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5201
(321) 406-0881
(321) 735-0235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381705900
—
FL
01
—
89121
CHIROPRACTOR
FL
Enumeration date
04/25/2007
Last updated
05/23/2019
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