Organization
D.H. MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A HEISE M.D. (OWNER)
(386) 235-1489
Entity
Organization
Contact information
Practice address
735 DUNLAWTON AVE, PORT ORANGE, FL 32127-9226
(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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262487700
—
FL
Enumeration date
11/17/2010
Last updated
10/15/2024
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