Heron, James

Heron, James is an individual health care provider with primary practice located at 5401 S Congress Ave #218, Atlantis FL 33462-6635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Heron, James can be contacted via phone (561) 968-0307.

Contact Information

Primary practice address
5401 S Congress Ave #218 Atlantis FL 33462-6635
Phone: (561) 968-0307
Fax: (561) 968-7673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME85170 Florida

Profile Details

NPI number 1013964840
LBN Legal business name Heron, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jan 30th, 2024 - about 10 months 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 1013964840 NPPES
Florida MEDICAID 268096300

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