Provider Demographics
NPI:1568909604
Name:HELLER, APRIL (AP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:HELLER
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1178 AZORA DR
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-6511
Mailing Address - Country:US
Mailing Address - Phone:617-650-5594
Mailing Address - Fax:
Practice Address - Street 1:123 N INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7431
Practice Address - Country:US
Practice Address - Phone:386-243-2761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3788171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist