Individual
DR. HEATHER RENEE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
19013 BISCAYNE BLVD, AVENTURA, FL 33180-2819
(305) 935-5250
(305) 945-3361
Mailing address
19013 BISCAYNE BLVD, AVENTURA, FL 33180-2819
(305) 935-5250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620841000
—
FL
05
—
620841001
—
FL
Enumeration date
07/14/2006
Last updated
03/30/2021
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