Provider Demographics
NPI:1225027527
Name:HOUCK, HEATHER E (MD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:E
Last Name:HOUCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1739 B RD
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4221
Mailing Address - Country:US
Mailing Address - Phone:561-373-9416
Mailing Address - Fax:561-694-5700
Practice Address - Street 1:2515 S STATE ROAD 7 STE 200
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9334
Practice Address - Country:US
Practice Address - Phone:561-694-5800
Practice Address - Fax:561-694-5700
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME117143207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology