Beverly Ann Heinking in Live Oak - Family Medicine

Beverly Ann Heinking - NPI 1073593737

Beverly Ann Heinking is a Family Medicine in Live Oak, Florida. Beverly Ann Heinking practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Beverly Ann Heinking is 1073593737. The last update date is 2007-07-08.

Beverly Ann Heinking's current location address is 300 Pinewood Dr Sw, Live Oak, Florida. You can contact this provider via phone number 3863621014 and fax number 3863625076. The mailing address for Beverly Ann Heinking is 300 Pinewood Dr Sw, Live Oak, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Beverly Ann Heinking
Address 300 Pinewood Dr Sw, Live Oak, Florida
Phone Number 3863621014
Fax Number 3863625076
Sole Proprietor X
Credentials D.O.

NPI Number Detail

NPI Number 1073593737
Provider Enumeration Date 2006-01-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 300 Pinewood Dr Sw
City Live Oak
State Florida (FL)
Post Code 320644029
Phone Number 3863621014
Fax Number 3863625076

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No OS5866
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80431 FL B/C

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FAQs about Beverly Ann Heinking

What is the unique 10-digit identifier code issued to Beverly Ann Heinking by the Centers for Medicare & Medicaid Services?

The Beverly Ann Heinking has been assigned the NPI (National Provider Identifier) 1073593737 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Beverly Ann Heinking is physically located?

The Beverly Ann Heinking is situated at the following address: 300 Pinewood Dr Sw, Live Oak, FL 320644029.

What is the Beverly Ann Heinking's area of specialization and corresponding taxonomy classification?

The Beverly Ann Heinking's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Beverly Ann Heinking receive the assignment of its 1073593737 from the Centers for Medicare & Medicaid Services?

The Beverly Ann Heinking was issued its 1073593737 by the Centers for Medicare & Medicaid Services on 2006-01-19.

As of what date were the details pertaining to Beverly Ann Heinking last refreshed?

The information related to the Beverly Ann Heinking, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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