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Organization
HEIDEN & HEIDEN PA
Active
Organization
HEIDEN & HEIDEN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN HEIDEN OD (PRESIDENT)
(954) 922-5210
Entity
Organization
Contact information
Practice address
2019A HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4509
(954) 922-5210
(954) 925-2190
Mailing address
2019 HOLLYWOOD BLVD, SUITE A, HOLLYWOOD, FL 33020-4509
(954) 922-5210
(954) 925-2190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084487000
—
FL
01
—
244075
AVMED
FL
Enumeration date
09/11/2006
Last updated
08/23/2010
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