Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Virginia Freeman

Individual provider Physician Assistant · NPI 1497261754

Heather Virginia Freeman is a Physician Assistant in Venice, Florida. Qualified in 2017, 9 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
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Practice location Address checks out

21550 Angela Ln
Venice, FL 34293-2017
Phone: (941) 493-7400
Fax: (941) 493-1940
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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 9110770 (FL)

Record details

NPI number1497261754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 22, 2017
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address3109 Medical Way, Sebring, FL 33870-5548

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Venice