Heritage Family Medicine, LLC

NPI #1124462981 in Bonifay, Florida

Provider Information

NPI Number: 1124462981
Entity Type: Organization
Organization Name: Heritage Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 24, 2013
Last Updated: Apr 24, 2013

Practice Location

Address: 101 E WISCONSIN AVE
City: Bonifay
State: Florida
ZIP Code: 32425-1809
Phone: (850) 547-2209

Authorized Official

Name: DR. PATRICK HAWKINS, M.D.
Title: PHYSICIAN
Phone: (850) 547-2209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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