Individual
MR. HEIDAR G HESHMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953
(321) 454-7111
(321) 454-7129
Mailing address
2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953
(321) 454-7111
(321) 454-7129
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MED0042145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067540700
—
FL
01
—
P00188448
RAILROAD MEDICARE
—
Enumeration date
08/23/2006
Last updated
12/07/2012
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