Beverly a Heinking, DO
Beverly a Heinking, DO is a Family Medicine Physician in Live Oak, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
300 Pinewood Dr SWLive Oak, FL 32064-4029
Phone: (386) 362-1014
Fax: (386) 362-5076
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence OS5866 (FL) |
|---|
Record details
| NPI number | 1700998010 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beverly Heinking — Owner · (386) 362-1014 |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | July 2, 2010 |
| Mailing address | 300 Pinewood Dr Sw, Live Oak, FL 32064-4029 |
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Beverly Ann Heinking, DO
300 Pinewood Dr SW, Live Oak, FL 32064-4029 · (386) 362-1014