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1952306367
ANDREW CHARLES HEIDEMAN
JACKSONVILLE, FL
NPI
1952306367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT21973)
Enumeration Date
2005-06-14
Last Update Date
2015-02-04
Business Address
-- ANDREW CHARLES HEIDEMAN PT
1325 SAN MARCO BLVD STE 102 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207-8549
Phone number: 904-858-7045
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Mailing Address
-- ANDREW CHARLES HEIDEMAN PT
PO BOX 40767 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32203-0767
Phone number: 904-376-3707
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