Provider Demographics
NPI:1881679314
Name:HELLMAN, DAVID CRAIG (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CRAIG
Last Name:HELLMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4800 BELFORT RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6004
Mailing Address - Country:US
Mailing Address - Phone:904-398-7205
Mailing Address - Fax:904-265-6409
Practice Address - Street 1:10151 ENTERPRISE CTR
Practice Address - Street 2:STE 103
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3759
Practice Address - Country:US
Practice Address - Phone:561-733-0379
Practice Address - Fax:561-733-0096
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207RG0100X207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375631900Medicaid
FLF77494Medicare UPIN
FL375631900Medicaid