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Individual

DR. JOSEPH A HEGLEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD FACS

Contact information

Practice address
3195 TAMIAMI TRL, SUITE B, PORT CHARLOTTE, FL 33952-8029
(941) 883-2020
(941) 883-3938
Mailing address
3195 TAMIAMI TRL, SUITE B, PORT CHARLOTTE, FL 33952-8029
(941) 883-2020
(941) 883-3938

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
81459
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268425000
FL
01
58829
BCBS
FL
Enumeration date
08/24/2005
Last updated
01/26/2012
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