Active NPI
Complete Medical Heathcare LLC
- Family Medicine Physician
- Port Orange, FL
National Provider Identifier
1467216523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMPLETE MEDICAL HEATHCARE LLC
- Practice address
- 735 Dunlawton Ave
Port Orange, FL 32127-9226 - Phone
- (386) 301-4450
- Fax
- (386) 872-4232
- NPI assigned
- Feb 9, 2024
- Last updated
- Feb 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Alan Heise, MD
- Title
- Owner/Medical Doctor
- Phone
- (888) 808-0488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
735 Dunlawton Ave
Port Orange, FL 32127-9226
Mailing address
735 Dunlawton Ave
Port Orange, FL 32127-9226
Phone (386) 301-4450
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Port Orange, FL
- NPI 1740353465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707436800000",
"number": "1467216523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 DUNLAWTON AVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321279226",
"telephone_number": "386-301-4450",
"fax_number": "386-872-4232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 DUNLAWTON AVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321279226",
"telephone_number": "386-301-4450",
"fax_number": "386-872-4232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE MEDICAL HEATHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-09",
"status": "A",
"authorized_official_last_name": "HEISE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
"authorized_official_telephone_number": "888-808-0488",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
- Comfortable Care Dental Health Professionals, P.a. (Ultimate Dental Studio)
- Comfortable Care Dental Health Professionals, PA (Lifetime Dentistry of Port Orange)
- Compass Nutrition LLC
- Complete Foot Care Associates
- Complete Medical Healthcare LLC
- Miriam Conboy, RBT
- Concierge Home Care of Port Orange LLC (Concierge Home Care)
- Connect Hearing, Inc.
- Connection Counseling LLC
- Teresa A Conner, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.