Individual
DR. DOUGLAS HEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C, D.A.C.B.N
Contact information
Practice address
3592 ALOMA AVE, SUITE #3, WINTER PARK, FL 32792-4012
(407) 677-1660
(407) 677-8252
Mailing address
3592 ALOMA AVE, SUITE #3, WINTER PARK, FL 32792-4012
(407) 677-1660
(407) 677-8252
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH0001603
FL
Other
Enumeration date
08/21/2006
Last updated
07/09/2007
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