Healthcare Provider Details

I. General information

NPI: 1972655231
Provider Name (Legal Business Name): HEGW ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ALT 19 N ST D
PALM HARBOR FL
34683
US

IV. Provider business mailing address

350 ALT 19 N ST D
PALM HARBOR FL
34683
US

V. Phone/Fax

Practice location:
  • Phone: 727-787-2285
  • Fax:
Mailing address:
  • Phone: 727-787-2285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA E HINTON
Title or Position: PRES
Credential: OWNER MGR PRES
Phone: 727-787-2285