Sutch, Heidi Dawn

Sutch, Heidi Dawn is an sole proprietor health care provider with primary practice located at 20711 Broadwater Dr , Land O Lakes FL 34638-8324. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Sutch, Heidi Dawn can be contacted via phone (813) 789-5252.

Contact Information

Primary practice address
20711 Broadwater Dr Land O Lakes FL 34638-8324
Phone: (813) 789-5252
Fax: (813) 909-8270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1346317963
LBN Legal business name Sutch, Heidi Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Feb 27th, 2019 - about 6 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 1346317963 NPPES
Florida MEDICAID 811639300

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