Individual
JOHN WILLIAM HIEMENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7832
(352) 273-5006
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-7832
(352) 273-5006
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 41865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1628751
—
LA
05
—
259000000
—
FL
Enumeration date
07/21/2006
Last updated
11/02/2009
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