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NPI Code Detail

MEDICARE: DR. PHIL BERT HELLER D.C.

MEDICARE: DR. PHIL BERT HELLER D.C.
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
1111NR0400XRehabilitation ChiropractorCH5124FL

General Provider Information

NPI Number : 1932260510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHIL BERT HELLER D.C.
Provider Business Mailing Address
First Line : 4388 SHADOW CREST PL
Second Line :
City : ORLANDO
State : FL
Zip : 32811-2965
Country : US
Telephone Number : 407-293-3458
Fax Number :
Provider Business Practice Location Address
First Line : 82 MAXCY PLAZA CIR
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-2488
Country : US
Telephone Number : 863-421-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 07/08/2007

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