Provider Demographics
NPI:1710183041
Name:HELLER, ADAM LEE (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:LEE
Last Name:HELLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11215 METRO PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-1206
Mailing Address - Country:US
Mailing Address - Phone:239-208-2212
Mailing Address - Fax:239-208-3994
Practice Address - Street 1:11215 METRO PKWY STE 1
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-1206
Practice Address - Country:US
Practice Address - Phone:239-208-2212
Practice Address - Fax:239-208-3994
Is Sole Proprietor?:No
Enumeration Date:2007-06-24
Last Update Date:2023-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE287032084N0400X
GA0573722084N0400X
TXTM006262084N0400X
OH35.1254832084N0400X
MI43011083032084N0400X
AZ512212084N0400X
MS242862084N0400X
NH173062084N0400X
ND139962084N0400X
ORMD1713462084N0400X
FLME1005992084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3112981Medicaid
FL000313300Medicaid