Provider Demographics
NPI:1164584124
Name:BRITTON, HEATHER N
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:N
Last Name:BRITTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9960 NW 116TH WAY
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1167
Mailing Address - Country:US
Mailing Address - Phone:786-924-1311
Mailing Address - Fax:786-924-1313
Practice Address - Street 1:2825 N STATE RD 7
Practice Address - Street 2:SUITE 207
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-979-1212
Practice Address - Fax:954-979-1951
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME859362084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLN245643OtherWELLCARE
FLN245643OtherSTAYWELL HEALTH PLAN
FL47834OtherBCBS
FLN245643OtherHEALTHEASE
FL266903000Medicaid
FLN245643OtherHEALTHEASE