Individual
HEIDI L HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 842-4713
(321) 841-5245
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(407) 649-6907
(321) 841-5245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116404
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
04/28/2021
Last updated
01/05/2024
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