Individual
MR. JAMIE HEGGEDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14465 N DALE MABRY HWY, TAMPA, FL 33618-2000
(813) 967-8177
(813) 961-3931
Mailing address
14465 N DALE MABRY HWY, TAMPA, FL 33618-2000
(813) 967-8177
(813) 961-3931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA43908
FL
Other
Enumeration date
01/26/2008
Last updated
01/30/2008
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