Provider Demographics
NPI:1972792125
Name:HEATHER N BRITTON MD PA
Entity Type:Organization
Organization Name:HEATHER N BRITTON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTIVATIONS
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:954-979-1212
Mailing Address - Street 1:2825 N STATE ROAD 7
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5737
Mailing Address - Country:US
Mailing Address - Phone:954-979-1212
Mailing Address - Fax:
Practice Address - Street 1:2825 N STATE ROAD 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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85936174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL47834OtherBLUE CROSS BLUE SHIELD
FLDC2240OtherRAILROAD MEDICARE
FLK6233Medicare PIN