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NPI Code Detail

MEDICARE: ETHAN HEIT MD

MEDICARE: ETHAN HEIT MD
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
1207P00000XEmergency Medicine PhysicianME0086709FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
178601OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043290430
Entity Type Code : Individual
Provider Name (Legal Business Name) : ETHAN HEIT MD
Provider Business Mailing Address
First Line : 1282 NW 141ST AVE
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-2367
Country : US
Telephone Number : 954-885-4385
Fax Number :
Provider Business Practice Location Address
First Line : 2950 CLEVELAND CLINIC BLVD
Second Line :
City : WESTON
State : FL
Zip : 33331-3625
Country : US
Telephone Number : 954-659-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 09/30/2022

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Directions to “ ETHAN HEIT MD” Practice Location

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