Svenson, Heather Wilfong
Svenson, Heather Wilfong is an individual health care provider with primary practice located at 4215 Plantation Oaks Blvd , Orange Park FL 32065-3641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Svenson, Heather Wilfong can be contacted via phone (904) 633-0820.Contact Information
Primary practice address
4215 Plantation Oaks Blvd
Orange Park FL 32065-3641
Phone: (904) 633-0820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 050841 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME119017 | Florida |
Profile Details
| NPI number | 1649381880 |
|---|---|
| LBN Legal business name | Svenson, Heather Wilfong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 2nd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649381880 | NPPES |
| Georgia | MEDICAID | 649597456B | |
| Georgia | MEDICAID | 649597456A | |
| Georgia | MEDICAID | 000926087C |
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