Individual provider · Type 1 NPI

William Derek Heinlen, PA

Surgical Physician Assistant · Melbourne, FL

NPI number 1356016182 Active

Practice location

2222 S Harbor City Blvd Ste 430
Melbourne, FL 32901-5591

Call (321) 344-8746 Map

Fax (321) 339-1932

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9115153 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9115153 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1356016182

William Derek Heinlen, PA's National Provider Identifier is 1356016182, issued on Aug 13, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Melbourne, FL. The record was last updated on Aug 26, 2026.