Healthcare Provider Details
I. General information
NPI: 1154517886
Provider Name (Legal Business Name): DAVID CRAIG HELLMAN DO PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2007
Last Update Date: 09/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10151 ENTERPRISE CTR SUITE 103
BOYNTON BEACH FL
33437-3759
US
IV. Provider business mailing address
10151 ENTERPRISE CTR SUITE 103
BOYNTON BEACH FL
33437-3759
US
V. Phone/Fax
- Phone: 561-733-0379
- Fax: 561-733-0096
- Phone: 561-733-0379
- Fax: 561-733-0096
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
C
HELLMAN
Title or Position: OWNER
Credential: DO
Phone: 561-733-0379