MEDICARE: DR. HILARY HEATH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH14258	FL

General Provider Information

NPI Number	:	1780398834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HILARY HEATH DC

Provider Business Mailing Address
First Line	:	9030 W FORT ISLAND TRL STE 11A
Second Line	:
City	:	CRYSTAL RIVER
State	:	FL
Zip	:	34429-2415
Country	:	US
Telephone Number	:	386-290-0804
Fax Number	:

Provider Business Practice Location Address
First Line	:	9030 W FORT ISLAND TRL STE 11A
Second Line	:
City	:	CRYSTAL RIVER
State	:	FL
Zip	:	34429-2415
Country	:	US
Telephone Number	:	386-290-0804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2023
Last Update Date	:	01/12/2023

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Directions to “ DR. HILARY HEATH DC” Practice Location

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