D.H. MEDICAL LLC NPI 1477855815

NPI Information

  • NPI: 1477855815
  • Provider Name: D.H. MEDICAL, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2278862
  • Address: 735 DUNLAWTON AVE
    PORT ORANGE, FL
    ZIP 32127
  • Phone: (888) 808-0488

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NPI Details

D.H. MEDICAL, LLC is a family medicine in Port Orange, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. D.H. MEDICAL, LLC NPI is 1477855815. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

735 DUNLAWTON AVE
PORT ORANGE, FL
ZIP 32127-226
Phone: (888) 808-0488
Fax: (386) 872-4232

The provider's authorized official is David A Heise .
The authorized official title is Owner and has the following contact phone number (386) 235-1489.

The CLIA number assigned to this NPI record is 10D2278862 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 10/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME83299FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1262487700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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