Healthcare Provider Details

I. General information

NPI: 1124084413
Provider Name (Legal Business Name): MICHAEL DAVID HELLINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SW 3RD AVE STE 650
MIAMI FL
33129-2338
US

IV. Provider business mailing address

2600 SW 3RD AVE STE 650
MIAMI FL
33129-2338
US

V. Phone/Fax

Practice location:
  • Phone: 305-858-1515
  • Fax: 305-859-9531
Mailing address:
  • Phone: 305-858-1515
  • Fax: 305-859-9531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberME56722
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: