Individual
MS. HEIDI ANN CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
1885 43RD ST N, ST PETERSBURG, FL 33713-4604
(708) 289-0529
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9224711
FL
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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