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Individual

HEIDIE L VASKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7205 SE MARICAMP RD, OCALA, FL 34472-2105
(352) 680-0324
(352) 680-0173
Mailing address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
(352) 793-8050

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601001406
MI
363AM0700X
Medical Physician Assistant
Primary
PA9108081
FL

Other

Enumeration date
09/29/2005
Last updated
08/13/2015
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