Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heathrow OB GYN

Organization Obstetrics & Gynecology Physician · NPI 1184894149

Heathrow OB GYN is an Obstetrics & Gynecology Physician in Orange City, Florida. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

942 Saxon Blvd Ste A
Orange City, FL 32763-8358
Phone: (386) 775-4448
Fax: (386) 775-4449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1184894149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Johannessen — Vp Operations · (386) 775-4448
NPI enumeratedMarch 6, 2008
Last updated in NPPESMarch 6, 2008
Mailing address942 Saxon Blvd, Suite A, Orange City, FL 32763-8358

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