Provider Demographics
NPI:1952477366
Name:LUING, HEATHER SHERRY-ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:SHERRY-ANNE
Last Name:LUING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:150 SOUTHPARK BLVD
Mailing Address - Street 2:STE 208
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5179
Mailing Address - Country:US
Mailing Address - Phone:904-429-7076
Mailing Address - Fax:904-217-8950
Practice Address - Street 1:304 KINGSLEY LAKE DR
Practice Address - Street 2:STE 601
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-3042
Practice Address - Country:US
Practice Address - Phone:904-217-4602
Practice Address - Fax:904-217-4427
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME954982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry