Organization
HEEKIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADY EL BAHRI MD (OWNER)
(904) 328-5979
Entity
Organization
Contact information
Practice address
1045 RIVERSIDE AVE STE 100, JACKSONVILLE, FL 32204-4148
(904) 328-5979
(904) 619-9925
Mailing address
1045 RIVERSIDE AVE STE 100, JACKSONVILLE, FL 32204-4148
(904) 328-5979
(904) 619-9925
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME49020
FL
Other
Enumeration date
10/10/2014
Last updated
09/29/2021
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