D.h. Medical, Llc | |
735 Dunlawton Ave Port Orange FL 32127-9226 | |
(888) 808-0488 | |
(386) 872-4232 |
Full Name | D.h. Medical, Llc |
---|---|
Speciality | Family Medicine |
Location | 735 Dunlawton Ave, Port Orange, Florida |
Authorized Official Name and Position | David A Heise (OWNER) |
Authorized Official Contact | 3862351489 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
D.h. Medical, Llc 735 Dunlawton Ave Port Orange FL 32127-9226 Ph: (888) 808-0488 | D.h. Medical, Llc 735 Dunlawton Ave Port Orange FL 32127-9226 Ph: (888) 808-0488 |
NPI Number | 1477855815 |
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Provider Enumeration Date | 11/17/2010 |
Last Update Date | 10/15/2024 |
Medicare PECOS PAC ID | 6103014618 |
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Medicare Enrollment ID | O20101228000869 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477855815 | NPI | - | NPPES |
262487700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME83299 (Florida) | Primary |
Provider Name | Samuel S Woociker |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1912971979 PECOS PAC ID: 0749172682 Enrollment ID: I20040326000219 |
Provider Name | David A Heise |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740353465 PECOS PAC ID: 8022009943 Enrollment ID: I20040520000133 |
Provider Name | Alison L Gettman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760665855 PECOS PAC ID: 7113940289 Enrollment ID: I20060104000820 |
Provider Name | Traci Lynn Zimmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033571930 PECOS PAC ID: 8426319609 Enrollment ID: I20180305000455 |
Provider Name | Brittany Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538656871 PECOS PAC ID: 1658625207 Enrollment ID: I20181116001957 |
Provider Name | Bruce L Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023500881 PECOS PAC ID: 1759713290 Enrollment ID: I20191121000915 |
Provider Name | Theodore Bens |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1669562815 PECOS PAC ID: 8820020548 Enrollment ID: I20200630001620 |
Provider Name | Rachel Annette Tax |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356948871 PECOS PAC ID: 8729484977 Enrollment ID: I20210914000285 |
Provider Name | Leticia Lee Pappas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013522242 PECOS PAC ID: 0345647467 Enrollment ID: I20210916000547 |
Provider Name | Krystal Marie Disantis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033693288 PECOS PAC ID: 2062759657 Enrollment ID: I20211111001456 |
Provider Name | Cassie Harrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710629852 PECOS PAC ID: 0345621272 Enrollment ID: I20220722001822 |
Provider Name | Julia Malysh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356075766 PECOS PAC ID: 3971987488 Enrollment ID: I20220901002142 |
Provider Name | Pamela Lawawen Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215526900 PECOS PAC ID: 7810371143 Enrollment ID: I20220905000126 |
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