Individual
HEISY B ASUSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 6TH ST S FL 2, ST PETERSBURG, FL 33701-4815
(727) 893-6198
(727) 893-6978
Mailing address
700 6TH ST S FL 2, ST PETERSBURG, FL 33701-4815
(727) 893-6198
(727) 893-6978
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20026
NV
207V00000X
Obstetrics & Gynecology Physician
Primary
ME166436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122777400
—
FL
Enumeration date
03/08/2016
Last updated
07/02/2024
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