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1972693422
MALCOLM JOHN HEAGLE
ST PETERSBURG, FL
NPI
1972693422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME82111)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Dr. MALCOLM JOHN HEAGLE M.D.
10000 BAY PINES BVLD
ST PETERSBURG, FL 33744
Phone number: 727-398-6661
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Mailing Address
Dr. MALCOLM JOHN HEAGLE M.D.
301 TOLEDO WAY NE
ST PETERSBURG, FL 33704-3835
Phone number: 727-742-6588
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