Individual
KATHLEEN ANN HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 INDIAN MOUND TRL, TAVERNIER, FL 33070-2140
(305) 852-4967
Mailing address
P.O.BOX1590, TAVERNIER, FL 33070
(305) 852-4867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA20300
FL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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