Donald H. Dehaven MD

NPI #1003050352 in Melbourne, Florida

Provider Information

NPI Number: 1003050352
Entity Type: Organization
Organization Name: Donald H. Dehaven MD
Primary Specialty: Family Medicine
Enumeration Date: Apr 29, 2009
Last Updated: Apr 29, 2009

Practice Location

Address: 8057 SPYGLASS HILL RD
Address 2: UNIT 104
City: Melbourne
State: Florida
ZIP Code: 32940-8565
Phone: (321) 622-8943

Authorized Official

Name: DONALD H DEHAVEN, MD
Title: SOLE PROPRIETOR
Phone: (321) 622-8943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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