Individual
DR. SCOTT ADAM HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Mailing address
108 QUAIL CREEK CIR, SAINT JOHNS, FL 32259-7247
(914) 420-9578
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME122880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020936300
—
FL
01
—
IF556X
MEDICARE PTAN
—
Enumeration date
05/21/2007
Last updated
07/21/2022
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