Individual
ERIK DOUGLAS HIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7273 VANDERBILT BEACH RD STE 28, NAPLES, FL 34119-1479
(239) 306-5390
(239) 306-5399
Mailing address
PO BOX 25487, SARASOTA, FL 34277-2487
(941) 202-5342
(855) 253-4836
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
230204
NY
207Q00000X
Family Medicine Physician
230204
NY
207Q00000X
Family Medicine Physician
Primary
OS12128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008741800
—
FL
01
—
14Q1Y
BCBS
FL
01
—
HF963Z
MEDICARE
FL
Enumeration date
08/07/2006
Last updated
12/23/2020
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