Individual
DR. CHARLES WILLIAM HEILIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, UFJP NEPHROLOGY, JACKSONVILLE, FL 32209-6511
(904) 244-5964
(904) 244-2165
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036111952
IL
207RN0300X
Nephrology Physician
Primary
ME102103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111952
—
IL
05
—
763529931A
—
GA
Enumeration date
12/18/2006
Last updated
06/03/2009
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