Individual
DR. DAREL HEITKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803
(407) 303-5600
Mailing address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01053809
IN
2085R0202X
Diagnostic Radiology Physician
Primary
ME136685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491730
—
IN
01
—
P00176837
RAILROAD MEDICARE
IN
Enumeration date
06/04/2006
Last updated
07/07/2018
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