Individual
MRS. EMILY G HEFFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3927
Mailing address
10140 CENTURION PKWY N STE 130, JACKSONVILLE, FL 32256-0532
(904) 697-3600
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
004228
GA
367H00000X
Anesthesiologist Assistant
1000-00588
NC
367H00000X
Anesthesiologist Assistant
2013016094
MO
367H00000X
Anesthesiologist Assistant
Primary
AA503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102732200
—
FL
05
—
509999511A
—
GA
05
—
50999951B
—
GA
Enumeration date
04/21/2006
Last updated
06/16/2021
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