Healthcare Provider Details

I. General information

NPI: 1881679314
Provider Name (Legal Business Name): DAVID CRAIG HELLMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10151 ENTERPRISE CTR STE 103
BOYNTON BEACH FL
33437-3759
US

IV. Provider business mailing address

4800 BELFORT RD
JACKSONVILLE FL
32256-6004
US

V. Phone/Fax

Practice location:
  • Phone: 561-733-0379
  • Fax: 561-733-0096
Mailing address:
  • Phone: 904-398-7205
  • Fax: 904-265-6409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number207RG0100X
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: