NPI | 1629025820 |
---|---|
Former Legal Business Name | R DAVID HEEKIN, MD, PA |
Entity Type | Organization |
Authorized Contact | BRETT PUCKETT CEO 904-634-0640 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 174400000X Specialist |
207QS0010X Family Medicine, Sports Medicine | |
207XS0106X Orthopaedic Surgery, Hand Surgery | |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
208VP0000X Pain Medicine, Pain Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
213E00000X Podiatrist | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2024-12-13 |