Individual
MR. SCOTT ROBERT HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
719 RODEL CV STE 2001, LAKE MARY, FL 32746-5716
(407) 302-3115
Mailing address
719 RODEL CV, LAKE MARY, FL 32746-5716
(407) 302-3112
(321) 203-4602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9117797
FL
Other
Enumeration date
08/31/2023
Last updated
10/30/2023
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