Provider Demographics
NPI:1184700775
Name:HEVERT, DAVID B (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:HEVERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3848 FAU BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6437
Mailing Address - Country:US
Mailing Address - Phone:561-394-3088
Mailing Address - Fax:561-394-5044
Practice Address - Street 1:3848 FAU BLVD STE 210
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6437
Practice Address - Country:US
Practice Address - Phone:561-394-3088
Practice Address - Fax:561-394-3077
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0029392207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93428WMedicare ID - Type Unspecified
FLD60482Medicare UPIN