MEDICARE: CHRISTOPHER J HELLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	ME0043395	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61420	OTHER	FL	BCBS OF FL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457379521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER J HELLER MD

Provider Business Mailing Address
First Line	:	6169 S JOG RD
Second Line	:	SUITE B 3
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6579
Country	:	US
Telephone Number	:	561-429-3973
Fax Number	:	561-429-3982

Provider Business Practice Location Address
First Line	:	6169 S JOG RD
Second Line	:	SUITE B 3
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-6579
Country	:	US
Telephone Number	:	561-429-3973
Fax Number	:	561-429-3982

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/23/2013

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