Doctor Name: | MARVIN ARTHUR HEUER |
NPI Number: | 1851625800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME72101 |
Business Practice Address: | 6001 Vineland Rd Suite 104 Orlando, FL - 328197829 |
Business Phone Number: | 4075745650 |
Business Fax Number: | 4073626292 |
Mailing Address: | 4630 S Kirkman Rd, Suite 368 ORLANDO |
State: | FL |
Postal Code: | 328112833 |
Phone Number: | 4075745650 |
Fax Number: | 4073626292 |
NPI Enumeration Date: | 09/23/2009 |
NPI Last Update Date: | 09/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME72101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |