Provider Demographics
NPI:1720035470
Name:NAPOLITANO, HEIDI J (MD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:J
Last Name:NAPOLITANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 CONROY WINDERMERE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2689
Mailing Address - Country:US
Mailing Address - Phone:407-704-1461
Mailing Address - Fax:407-704-1501
Practice Address - Street 1:7601 CONROY WINDERMERE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-2689
Practice Address - Country:US
Practice Address - Phone:407-704-1461
Practice Address - Fax:407-704-1501
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME884532084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH61681Medicare UPIN
FL81774Medicare ID - Type Unspecified