Healthcare Provider Details

I. General information

NPI: 1598754822
Provider Name (Legal Business Name): FIFER & HELIGMAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 RIVERWALK PARK BLVD SUITE 1
FORT MYERS FL
33919-8759
US

IV. Provider business mailing address

8350 RIVERWALK PARK BLVD SUITE 1
FORT MYERS FL
33919-8759
US

V. Phone/Fax

Practice location:
  • Phone: 239-482-5399
  • Fax: 239-482-4353
Mailing address:
  • Phone: 239-482-5399
  • Fax: 239-482-4353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID HELIGMAN
Title or Position: PARTNER
Credential: M.D.
Phone: 239-482-5399