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Organization

HELLER DERMATOLOGY CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY JAY HELLER D. O. (PRESIDENT / OWNER)
(386) 239-8700
Entity
Organization

Contact information

Practice address
511 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2323
(386) 239-8700
(386) 239-7070
Mailing address
511 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2323
(386) 239-8700
(386) 239-7070

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS6226
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80659
BCBS OF FL
FL
Enumeration date
09/27/2010
Last updated
03/01/2011
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