Female

Heather D. Basagoitia CMA, CPT

Phlebology Physician in Fort Lauderdale, FL(View on Map)

Full Name

Heather Danielle Basagoitia CMA, CPT

NPI Number

1710519640

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/09/2020

Specialties

(Taxonomies)

Code

202K00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

134047

Contact
Information

Purpose

Mailing
Location

Address

9715 W BROWARD BLVD # 233
1345 SW 30TH ST

City

Plantation
Fort Lauderdale

State

FL
FL

Postal Code

33324-2351
33315-2842

Country

US
US

Telephone Number

(754) 227-9238
(954) 629-4309

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/09/2020

Provider Address