Organization
LAZENBY & HEATH MD'S PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HEATHER HEATH M.D. (CEO)
(727) 934-5705
Entity
Organization
Contact information
Practice address
1109 US HIGHWAY 19, HOLIDAY, FL 34691-5638
(727) 934-5705
(727) 937-3756
Mailing address
1109 US HIGHWAY 19, HOLIDAY, FL 34691-5638
(727) 934-5705
(727) 937-3756
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37261500
—
FL
Enumeration date
02/15/2007
Last updated
01/13/2012
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