Individual
DR. DIANA HEATHER HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. F.A.C.S.
Contact information
Practice address
1109 US HIGHWAY 19, HOLIDAY, FL 34691-5638
(727) 934-5705
(727) 937-3756
Mailing address
1109 US HIGHWAY 19, HOLIDAY, FL 34691-5638
(727) 934-5705
(727) 937-3756
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME60846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726151000
—
FL
Enumeration date
08/08/2006
Last updated
04/02/2008
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