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Individual

AMY WYNN HEATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 227-1794
Mailing address
273 BETTY RAE DR, WEWAHITCHKA, FL 32465-7921
(850) 639-6892

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN3358322
FL

Other

Enumeration date
07/10/2006
Last updated
07/08/2007
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