Healthcare Provider Details

I. General information

NPI: 1144320318
Provider Name (Legal Business Name): HELEN ANN PRESTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELEN ANN SMITH M.D.

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 E REDSTONE AVE SUITE 110
CRESTVIEW FL
32539-5326
US

IV. Provider business mailing address

131 E REDSTONE AVE STE 110
CRESTVIEW FL
32539-5355
US

V. Phone/Fax

Practice location:
  • Phone: 850-398-5922
  • Fax: 850-398-6133
Mailing address:
  • Phone: 850-398-5922
  • Fax: 850-398-6133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME100932
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME100932
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: