Individual
ELIZABETH DAWN HEIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 DORA AVE, TAVARES, FL 32778-4974
(352) 434-4464
(352) 434-3234
Mailing address
2450 DORA AVE, TAVARES, FL 32778-4974
(352) 434-4464
(352) 434-3234
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AL7472
FL
310400000X
Assisted Living Facility
7472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012372200
—
FL
Enumeration date
04/16/2014
Last updated
12/17/2020
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