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Organization

HEARTLAND WOMENS HEALTH CENTER P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FELIX DANIEL OYOLA M.D. (PRESIDENT)
(386) 752-8181
Entity
Organization

Contact information

Practice address
351 NE FRANKLIN ST, SUITE 1125, LAKE CITY, FL 32055-3089
(386) 752-8181
Mailing address
PO BOX 2757, LAKE CITY, FL 32056-2757
(386) 752-8181

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME59691
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055227500
FL
01
12800
BCBS OF FL
FL
01
214713
AVMED
01
P00162358
RAILROAD MEDICARE
Enumeration date
10/10/2006
Last updated
11/16/2007
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