# SAMUEL L HEERING MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366752438
- **Authorized official:** DR. SAMUEL L HEERING MD (PRESIDENT)
- **Authorized official phone:** (561) 218-0767

## Contact information

- **Practice address:** 9970 CENTRAL PARK BLVD N, SUITE 303, BOCA RATON, FL 33428-2231
- **Practice address phone:** (561) 218-0767
- **Practice address fax:** (561) 218-3757
- **Mailing address:** PO BOX 880346, BOCA RATON, FL 33488-0346
- **Mailing address phone:** (561) 218-0767
- **Mailing address fax:** (561) 218-3757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 69832 | FL | Yes |

## Other

- **Enumeration date:** 10/07/2010
- **Last updated:** 06/24/2013
