Healthcare Provider Details

I. General information

NPI: 1164077061
Provider Name (Legal Business Name): HEATHER STUTZ PERRY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 1ST ST N
WINTER HAVEN FL
33881-4129
US

IV. Provider business mailing address

2995 DREW ST
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 863-294-0670
  • Fax: 863-298-3200
Mailing address:
  • Phone: 727-315-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11002888
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: