Beverly a Heinking, D.o.

NPI #1700998010 in Live Oak, Florida

Provider Information

NPI Number: 1700998010
Entity Type: Organization
Organization Name: Beverly a Heinking, D.o.
Primary Specialty: Family Medicine
Enumeration Date: Aug 31, 2006
Last Updated: Jul 2, 2010

Practice Location

Address: 300 PINEWOOD DR SW
City: Live Oak
State: Florida
ZIP Code: 32064-4029
Phone: (386) 362-1014

Authorized Official

Name: DR. BEVERLY ANN HEINKING, D.O.
Title: OWNER
Phone: (386) 362-1014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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