Heavan Tawfik, PHYSICAL THERAPIST | |
7179 40th Ave N, St Petersburg, FL 33709-4560 | |
(386) 290-9055 | |
Not Available |
Full Name | Heavan Tawfik |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 7179 40th Ave N, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306561600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 010596 (Florida) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871972653 PECOS PAC ID: 6507832573 Enrollment ID: O20150723009037 |
Mailing Address | Practice Location Address |
---|---|
Heavan Tawfik, PHYSICAL THERAPIST 12912 Leeds Ct Apt G45, Tampa, FL 33612-4781 Ph: (386) 290-9055 | Heavan Tawfik, PHYSICAL THERAPIST 7179 40th Ave N, St Petersburg, FL 33709-4560 Ph: (386) 290-9055 |
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