Provider Demographics
NPI:1093774523
Name:HELIGMAN, CRAIG S (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:S
Last Name:HELIGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WATER ST # J290
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-4445
Mailing Address - Country:US
Mailing Address - Phone:904-359-3658
Mailing Address - Fax:904-245-4455
Practice Address - Street 1:500 WATER ST # J290
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-4445
Practice Address - Country:US
Practice Address - Phone:904-359-3658
Practice Address - Fax:904-245-4455
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR6J472083X0100X
FLME1137512083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207763913Medicaid