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Individual

MRS. HEATHER LYNN PREISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4423
(850) 233-3376
(850) 522-8354
Mailing address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4423
(850) 233-3376
(850) 522-8354

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104111
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001097900
FL
01
77908
BCBS
FL
Enumeration date
03/12/2007
Last updated
11/02/2011
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