Corey A Heichel, P.A.-C.
Physician Assistant, Medical in Lake Mary, FL. Individual provider (NPI-1).
NPI number1134319601
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1134319601
- Entity type
- Individual (NPI-1)
- Name
- Corey A Heichel
- Credential
- P.A.-C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2007
- Certification date
- Aug 8, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 2134 | SC | Yes |
| 363A00000X | Physician Assistant | 2134 | SC |
Practice location
795 Primera Blvd Ste 1001Lake Mary, FL 32746-2191
Phone 386-561-9967 · Fax 844-815-1446
Mailing address
795 Primera Blvd Ste 1001Lake Mary, FL 32746-2191
Phone 386-561-9967 · Fax 844-815-1446
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