Whalio Doctors

NPI 1003050352

Donald H. Dehaven MD

Organisation Family Medicine Physician Melbourne, FL

Practice location

Address
8057 Spyglass Hill Rd Unit 104, Melbourne, FL 32940-8565
Phone
(321) 622-8943
Fax
(321) 622-8945

Authorised official

Name
Donald H Dehaven
Title
Sole Proprietor
Phone
(321) 622-8943

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME035779 (FL)

Registry record

NPI
1003050352
Entity type
Organization
NPI issued
29 Apr 2009
Record last updated
29 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.