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Organization
HEARTLAND WOMENS HEALTH CENTER P A
Active
Organization
HEARTLAND WOMENS HEALTH CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX DANIEL OYOLA M.D. (PRESIDENT)
(386) 752-8181
Entity
Organization
Contact information
Practice address
351 NE FRANKLIN ST, SUITE 1125, LAKE CITY, FL 32055-3089
(386) 752-8181
Mailing address
PO BOX 2757, LAKE CITY, FL 32056-2757
(386) 752-8181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME59691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055227500
—
FL
01
—
12800
BCBS OF FL
FL
01
—
214713
AVMED
—
01
—
P00162358
RAILROAD MEDICARE
—
Enumeration date
10/10/2006
Last updated
11/16/2007
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