Provider Demographics
NPI:1033169180
Name:HELDMAN, ALAN W (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:W
Last Name:HELDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 NW 12TH AVE
Mailing Address - Street 2:JMT-EAST 1007
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1028
Mailing Address - Country:US
Mailing Address - Phone:305-243-5138
Mailing Address - Fax:305-243-1731
Practice Address - Street 1:1295 NW 14TH STREET
Practice Address - Street 2:SUITE A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1003
Practice Address - Country:US
Practice Address - Phone:305-243-1900
Practice Address - Fax:305-243-1901
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD44970207RC0000X
FLME0099717207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAG236Y,ZOtherMEDICARE
MD643221200Medicaid
FL2810417-00Medicaid
MDKR34578LMedicare ID - Type Unspecified
FL2810417-00Medicaid