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General NPI Number Information
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NPI Number | 1710037692
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Entity Type | Individual
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Provider Name | MICHAEL HEID DO
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 801 E 6TH ST. STE. 602 BAYSIDE SURGICAL ASSOCIATES
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City | PANAMA CITY
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State | FL
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Zip | 32401
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Country | US
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Telephone | 850-913-6960
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Fax | 573-331-5079
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Provider Business Mailing Address
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Address Line | PO BOX 11407
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City | BIRMINGHAM
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State | AL
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Zip | 35246-1431
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Country | US
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Telephone | 361-572-0333
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Fax | 361-703-5101
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2006023537
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | OS7096
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | OS7096
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License Number State | FL
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