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Individual

MRS. HEATHER A WELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819-5140
(407) 363-2000
Mailing address
1368 HOLLY GLEN RUN, APOPKA, FL 32703-6863
(407) 873-5021

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1856642
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24039
MEDICARE GROUP NUMBER
FL
01
259038700
MEDICAID GROUP NUMBER
FL
05
301644700
FL
Enumeration date
08/11/2006
Last updated
01/20/2012
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