Individual
JAE HEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 N PARK AVE STE 105, APOPKA, FL 32703
(407) 889-1953
(407) 303-0845
Mailing address
201 N PARK AVE STE 105, APOPKA, FL 32703-4147
(407) 889-1953
(407) 303-0845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110124
FL
363A00000X
Physician Assistant
PAT 9110124
FL
Other
Enumeration date
01/19/2017
Last updated
04/24/2019
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