Individual
ROBERT HEINEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 OAK DR, LONGWOOD, FL 32779-4745
(407) 595-5457
(407) 772-0378
Mailing address
PO BOX 161941, ALTAMONTE SPRINGS, FL 32716-1941
(407) 595-5457
(407) 772-0378
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CGC058989
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691368779
—
FL
Enumeration date
05/19/2016
Last updated
05/19/2016
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