Provider Demographics
NPI:1326361577
Name:DISALVO, HEIDI ELIZABETH (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:ELIZABETH
Last Name:DISALVO
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:815 S PARSONS AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6063
Mailing Address - Country:US
Mailing Address - Phone:813-571-2777
Mailing Address - Fax:813-571-2888
Practice Address - Street 1:815 S PARSONS AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6063
Practice Address - Country:US
Practice Address - Phone:813-571-2777
Practice Address - Fax:813-571-2888
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12858174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist