Diane M. Heath PA-C
Medical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Diane Marie Heath PA-C
NPI Number
1346221579
NPI Type
Individual Provider
Gender
Female
Enumeration Date
11/05/2005
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9101440
Contact
Information
Purpose
Mailing
Location
Address
6500 BOWDEN RD
10475 CENTURION PKWY N
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32216-8070
32256-5003
Country
US
US
Telephone Number
(904) 634-0640
(904) 634-0640
Identifiers
Identifier
041723183
970017164
Identifier State
FL
FL
Identifier Issuer
CHAMPUS
RAILROAD
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/26/2016