Provider Demographics
NPI:1003832205
Name:BIRINGER, HEIDI E (PA-C)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:E
Last Name:BIRINGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 HEALING WAY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-5453
Mailing Address - Country:US
Mailing Address - Phone:813-929-5330
Mailing Address - Fax:813-929-5352
Practice Address - Street 1:2700 HEALING WAY
Practice Address - Street 2:SUITE 112
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-5453
Practice Address - Country:US
Practice Address - Phone:813-929-5330
Practice Address - Fax:813-929-5352
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9103788363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002728200Medicaid
FLP01170437OtherR&R MEDICARE
FLDK488ZMedicare PIN