Individual
MICHAEL HEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3 SHIRCLIFF WAY STE 625, JACKSONVILLE, FL 32204-4776
(904) 308-6900
(904) 308-6927
Mailing address
3 SHIRCLIFF WAY STE 625, JACKSONVILLE, FL 32204-4776
(904) 308-6900
(904) 308-6927
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2006023537
MO
2086S0102X
Surgical Critical Care Physician
Primary
OS7096
FL
2086S0127X
Trauma Surgery Physician
OS7096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165402003
—
AR
05
—
1710037692
—
IL
05
—
200184604
—
MO
01
—
502944
ANTHEM BCBS
MO
05
—
7100044890
—
KY
01
—
761287
HEALTHLINK
—
01
—
P00433989
RAILROAD MEDICARE
—
Enumeration date
01/11/2007
Last updated
05/12/2026
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