Individual
JONATHON EDWARD HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5751 HOOVER BLVD, TAMPA, FL 33634-5340
(813) 886-8334
(813) 886-8334
Mailing address
5751 HOOVER BLVD, TAMPA, FL 33634-5340
(813) 886-8334
(813) 886-8334
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D74171
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055395600
—
MD
Enumeration date
06/06/2008
Last updated
09/23/2021
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