| Donald H. Dehaven Md | |
|
8057 Spyglass Hill Rd Unit 104 Melbourne FL 32940-8565 | |
| (321) 622-8943 | |
| (321) 622-8945 |
| Full Name | Donald H. Dehaven Md |
|---|---|
| Speciality | Family Medicine |
| Location | 8057 Spyglass Hill Rd, Melbourne, Florida |
| Authorized Official Name and Position | Donald H Dehaven (SOLE PROPRIETOR) |
| Authorized Official Contact | 3216228943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald H. Dehaven Md 8057 Spyglass Hill Rd Unit 104 Melbourne FL 32940-8565 Ph: (321) 622-8943 | Donald H. Dehaven Md 8057 Spyglass Hill Rd Unit 104 Melbourne FL 32940-8565 Ph: (321) 622-8943 |
| NPI Number | 1003050352 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003050352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME035779 (Florida) | Primary |
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