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NPI Code Detail

MEDICARE: HEIDIE L VASKO PA-C

MEDICARE: HEIDIE L VASKO PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601001406MI
2363AM0700XMedical Physician AssistantPA9108081FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255328894
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDIE L VASKO PA-C
Provider Business Mailing Address
First Line : 1425 S US 301
Second Line :
City : SUMTERVILLE
State : FL
Zip : 33585-5141
Country : US
Telephone Number : 352-793-5900
Fax Number : 352-793-8050
Provider Business Practice Location Address
First Line : 7205 SE MARICAMP RD
Second Line :
City : OCALA
State : FL
Zip : 34472-2105
Country : US
Telephone Number : 352-680-0324
Fax Number : 352-680-0173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 08/13/2015

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Directions to “ HEIDIE L VASKO PA-C” Practice Location

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