Individual
MR. ALFRED P HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5301 S CONGRESS AVE, BLDG. #300, ATLANTIS, FL 33462-1149
(561) 548-4900
(561) 548-4902
Mailing address
5301 S CONGRESS AVE, BLDG. #300, ATLANTIS, FL 33462-1149
(561) 548-4900
(561) 548-4902
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291938900
—
FL
Enumeration date
09/09/2005
Last updated
02/10/2022
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