BEVERLY A HEINKING, D.O.

LIVE OAK, FL
NPI1700998010
Entity TypeOrganization
Authorized ContactBEVERLY ANN HEINKING
Owner
386-362-1014
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS5866)
Enumeration Date2006-08-31
Last Update Date2010-07-02
Business Address
BEVERLY A HEINKING, D.O.
300 PINEWOOD DR SW
LIVE OAK, FL 32064-4029
Phone number: 386-362-1014
Mailing Address
BEVERLY A HEINKING, D.O.
300 PINEWOOD DR SW
LIVE OAK, FL 32064-4029
Phone number: 386-362-1014
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