Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Bonifay Nelson, PA-C

Individual provider Physician Assistant · NPI 1013001775

Heather Bonifay Nelson, PA-C is a Physician Assistant in Winter Haven, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

151 2nd St SW
Winter Haven, FL 33880-2909
Phone: (863) 288-0960
Fax: (863) 288-0963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103902 (FL)

Record details

NPI number1013001775
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

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