Individual
MRS. HEATHER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8211
(904) 202-2000
Mailing address
2196 GUNPOWDER DR NE, PALM BAY, FL 32905-4004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9120994
FL
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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