Individual
HEBA EL GOWENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8880 NAVARRE PKWY, SUITE 102, NAVARRE, FL 32566-3612
(850) 939-5550
(850) 939-5445
Mailing address
8880 NAVARRE PKWY, SUITE 102, NAVARRE, FL 32566-3612
(850) 939-5550
(850) 939-5445
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME85791
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266616200
—
FL
01
—
29224
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
01
—
591-68677
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
06/23/2006
Last updated
05/13/2008
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