Individual
AMIE HEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
(760) 725-5102
Mailing address
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039302
PA
Other
Enumeration date
09/17/2012
Last updated
05/14/2025
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