Provider Demographics
NPI:1841815685
Name:DAVE, HEERANSH DHARMESH (MD)
Entity type:Individual
Prefix:MR
First Name:HEERANSH
Middle Name:DHARMESH
Last Name:DAVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 CLEVELAND CLINIC BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331
Mailing Address - Country:US
Mailing Address - Phone:954-689-5000
Mailing Address - Fax:954-659-5425
Practice Address - Street 1:11750 BIRD ROAD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3530
Practice Address - Country:US
Practice Address - Phone:786-315-5925
Practice Address - Fax:305-485-2962
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2024-08-18
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-08-25
Provider Licenses
StateLicense IDTaxonomies
SC92933207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine