Heller Dermatology Center Pa

NPI 1477862324 - Dermatology - 207N00000X

NPI Details
NPI 1477862324
Enumeration Date 09/27/2010
Last Updated 03/01/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JEFFREY JAY JEFFREY
Position PRESIDENT / OWNER
Phone (386) 239-8700
Fax (386) 239-7070
Practice Location
511 N CLYDE MORRIS BLVD
DAYTONA BEACH FL, 32114-2323, US
Phone (386) 239-8700
Fax (386) 239-7070
Business Location
511 N CLYDE MORRIS BLVD
DAYTONA BEACH FL, 32114-2323, US
Phone (386) 239-8700
Fax (386) 239-7070
Toxanomy
Taxonomy Code 207N00000X
License State Florida
License Number OS6226
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According to our database, Heller Dermatology Center Pa NPI is 1477862324, taxonomy code is 207N00000X and license number is OS6226, license state is located at Florida. Heller Dermatology Center Pa physically located at 511 N Clyde Morris Blvd, Daytona Beach FL, 32114-2323. NPI Number 1033115704 has the healthcare provider type.

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1477862324 NPI number is provided on an as is basis without warranty of any kind. 1477862324 is maintained by the National Plan & Provider Enumeration System. The contents of Heller Dermatology Center Pa are for informational purposes only.