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

Heather Danielle Basagoitia, CMA, CPT

Individual provider Phlebology Physician · NPI 1710519640

Heather Danielle Basagoitia, CMA, CPT is a Phlebology Physician in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

1345 SW 30th St
Fort Lauderdale, FL 33315-2842
Phone: (954) 629-4309
Show map & directions

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

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence 134047 (FL)

Record details

NPI number1710519640
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMA , CPT
Sole proprietorYes
NPI enumeratedFebruary 9, 2020
Last updated in NPPESFebruary 9, 2020
Certification dateFebruary 9, 2020
Mailing address9715 W Broward Blvd # 233, Plantation, FL 33324-2351

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