Carraway, Heather Floyd

Carraway, Heather Floyd is an sole proprietor health care provider with primary practice located at 2245 Plantation Center Dr Suite 57, Fleming Island FL 32003-3352. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Carraway, Heather Floyd can be contacted via phone (904) 374-1414.

Contact Information

Primary practice address
2245 Plantation Center Dr Suite 57 Fleming Island FL 32003-3352
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT23307 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT23307 Florida

Profile Details

NPI number 1518028588
LBN Legal business name Carraway, Heather Floyd
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 22nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518028588 NPPES
Georgia MEDICAID 326059
Georgia MEDICAID 742840135A
Georgia MEDICAID 10046956
Georgia MEDICAID 892083400

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