Beverly A Heinking, D.o. | |
300 Pinewood Dr Sw Live Oak FL 32064-4029 | |
(386) 362-1014 | |
(386) 362-5076 |
Full Name | Beverly A Heinking, D.o. |
---|---|
Speciality | Family Medicine |
Location | 300 Pinewood Dr Sw, Live Oak, Florida |
Authorized Official Name and Position | Beverly Ann Heinking (OWNER) |
Authorized Official Contact | 3863621014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beverly A Heinking, D.o. 300 Pinewood Dr Sw Live Oak FL 32064-4029 Ph: (386) 362-1014 | Beverly A Heinking, D.o. 300 Pinewood Dr Sw Live Oak FL 32064-4029 Ph: (386) 362-1014 |
NPI Number | 1700998010 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 07/02/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700998010 | NPI | - | NPPES |
051350402 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS5866 (Florida) | Primary |
Acv Community Services Ll Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10820 Marvin E Jones Blvd, Live Oak, FL 32060 Phone: 386-658-5341 | |
Horizon Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Demorest St Se, Live Oak, FL 32064 Phone: 386-362-5437 Fax: 386-362-5440 | |