Healthcare Provider Details

I. General information

NPI: 1659824621
Provider Name (Legal Business Name): SCOTT ART INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2016
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12216 PANAMA CITY BEACH PKWY STE C
PANAMA CITY BEACH FL
32407-2728
US

IV. Provider business mailing address

12216 PANAMA CITY BEACH PKWY STE C
PANAMA CITY BEACH FL
32407-2728
US

V. Phone/Fax

Practice location:
  • Phone: 850-775-0121
  • Fax: 850-991-7116
Mailing address:
  • Phone: 850-077-5012
  • Fax: 850-999-7116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9335171
License Number StateFL

VIII. Authorized Official

Name: SCOTT R HEILMANN
Title or Position: PRESIDENT
Credential: ARNP
Phone: 850-775-0121