Individual
DR. MICHAEL C HEAGNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4550 GRASSY POINT BLVD, PORT CHARLOTTE, FL 33952-9179
(941) 624-5634
Mailing address
4550 GRASSY POINT BLVD, PORT CHARLOTTE, FL 33952-9179
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME45251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046236500
—
FL
Enumeration date
07/17/2006
Last updated
06/02/2008
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