Individual
HEATHER FLOYD CARRAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2245 PLANTATION CENTER DR, SUITE 57, FLEMING ISLAND, FL 32003-3352
(904) 374-1414
Mailing address
7696 ENDERBY AVE E, JACKSONVILLE, FL 32244-4924
(904) 412-7478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT23307
FL
2251P0200X
Pediatric Physical Therapist
Primary
PT23307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10046956
—
GA
05
—
326059
—
GA
05
—
742840135A
—
GA
05
—
892083400
—
FL
Enumeration date
12/13/2006
Last updated
07/22/2013
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