Individual
PHILIP C. HIGHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AP
Contact information
Practice address
1437 FLAGLER AVE, JACKSONVILLE, FL 32207-8516
(904) 353-1874
Mailing address
4605 BRENTWOOD AVE, JACKSONVILLE, FL 32206-6168
(904) 353-1874
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1231
STATE LICENSE NUMBER
FL
Enumeration date
07/18/2008
Last updated
07/18/2008
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