Individual
DONALD HARRY DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
8041 SPYGLASS HILL RD, UNIT 102, MELBOURNE, FL 32940-8559
(321) 622-8943
(321) 622-8945
Mailing address
8041 SPYGLASS HILL RD, UNIT 102, MELBOURNE, FL 32940-8559
(321) 622-8943
(321) 622-8945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME035779
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
ME035779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01257726
AMERIGROUP
FL
01
—
02042
BLUE CROSS BLUE SHIELD
FL
01
—
1068059
CAREPLUS MEDICARE
FL
01
—
19335
FIRST HEALTHY
—
01
—
225693
WELLCARE
FL
01
—
5255803008
CIGNA
FL
01
—
P00018595
RAILROAD MEDICARE
FL
Enumeration date
11/09/2005
Last updated
01/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us