Heiman, Elizabeth Dawn

Heiman, Elizabeth Dawn is an sole proprietor health care provider with primary practice located at 2450 Dora Ave , Tavares FL 32778-4974. She recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is her primary health care specialty. Heiman, Elizabeth Dawn can be contacted via phone (352) 434-4464.

Contact Information

Primary practice address
2450 Dora Ave Tavares FL 32778-4974
Phone: (352) 434-4464
Fax: (352) 434-3234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 7472 Florida
Managed Care Organizations / Point of Service 305S00000X AL7472 Florida

Profile Details

NPI number 1669891784
LBN Legal business name Heiman, Elizabeth Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2014
Last updated Dec 17th, 2020 - about 4 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 1669891784 NPPES
Florida MEDICAID 012372200

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