Individual provider · Type 1 NPI

Diane Marie Heath, PA-C

Medical Physician Assistant · Jacksonville, FL

NPI number 1346221579 Active

Practice location

10475 Centurion Pkwy N, Suite 220
Jacksonville, FL 32256-5003

Call (904) 634-0640 Map

Fax (904) 634-0203

Mailing address

6500 Bowden Rd, Suite 103
Jacksonville, FL 32216-8070

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9101440 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1346221579

Diane Marie Heath, PA-C's National Provider Identifier is 1346221579, issued on Nov 5, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 26, 2016.