Individual
DR. HEATHER WILFONG SVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4215 PLANTATION OAKS BLVD, ORANGE PARK, FL 32065-3641
(904) 633-0820
Mailing address
13626 SHIPWATCH DR, JACKSONVILLE, FL 32225-5402
(912) 399-3824
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
050841
GA
208000000X
Pediatrics Physician
Primary
ME119017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926087C
—
GA
05
—
649597456A
—
GA
05
—
649597456B
—
GA
Enumeration date
08/31/2006
Last updated
09/02/2022
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