Heinz, Jeana Marie

Heinz, Jeana Marie is an individual health care provider with primary practice located at 17345 Sw 8Th St , Pembroke Pines FL 33029-4210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Heinz, Jeana Marie can be contacted via phone (954) 732-1222.

Contact Information

Primary practice address
17345 Sw 8Th St Pembroke Pines FL 33029-4210
Phone: (954) 732-1222
Fax: (954) 430-6140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101635 Florida

Profile Details

NPI number 1720042393
LBN Legal business name Heinz, Jeana Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Aug 19th, 2016 - about 8 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 1720042393 NPPES
Florida MEDICAID 291405100

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