Provider Demographics
NPI:1518929421
Name:HEILBRON, ROY GILBERT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:GILBERT
Last Name:HEILBRON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:#530
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-531-6886
Mailing Address - Fax:305-531-9992
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:#530
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-531-6886
Practice Address - Fax:305-531-9992
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2011-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 63434207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377804500Medicaid
FL27500XMedicare ID - Type Unspecified
FLG11162Medicare UPIN