Individual
MR. SCOTT DANIEL HEIKKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2701 18TH AVE N, ST PETERSBURG, FL 33713-4935
(727) 851-2577
Mailing address
2701 18TH AVE N, ST PETERSBURG, FL 33713-4935
(727) 851-2577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA# 10674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
675736700
—
FL
Enumeration date
12/02/2010
Last updated
12/02/2010
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