Individual
DR. DAVID HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
ME0083299
FL
208M00000X
Hospitalist Physician
ME83299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262487700
—
FL
01
—
ME83299
STATE MEDICAL LICENSE
FL
Enumeration date
11/17/2006
Last updated
03/23/2026
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