Individual
HEATHER SHIMOJI BARKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4226 CENTRAL AVE, ST PETERSBURG, FL 33711-1140
(727) 321-3915
Mailing address
4226 CENTRAL AVE, ST PETERSBURG, FL 33711-1140
(727) 321-3915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108034
FL
363A00000X
Physician Assistant
PAT9108034
FL
Other
Enumeration date
07/08/2014
Last updated
08/14/2017
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