Individual
DR. HEATHER V AULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1570 COLONIAL BLVD, FORT MYERS, FL 33907-1031
(239) 208-6676
(392) 086-6762
Mailing address
1570 COLONIAL BLVD, FORT MYERS, FL 33907-1031
(239) 208-6676
(392) 086-6762
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME58032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011209M
HUMANA
FL
01
—
12565
BC/BS OF FLORIDA
FL
01
—
15625
STAYWELL
FL
01
—
212935
AVMED
FL
Enumeration date
11/16/2005
Last updated
03/10/2020
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