Provider Demographics
NPI:1841248457
Name:BENET MAGYAR, HEIDI (ARNP BC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:BENET MAGYAR
Suffix:
Gender:F
Credentials:ARNP BC
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:CROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:5664 SW 60TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5877
Mailing Address - Country:US
Mailing Address - Phone:352-291-5440
Mailing Address - Fax:352-291-5582
Practice Address - Street 1:5664 SW 60TH AVENUE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5877
Practice Address - Country:US
Practice Address - Phone:352-291-5440
Practice Address - Fax:352-291-5582
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1087662363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL763326200Medicaid
FLE8066ZMedicare ID - Type Unspecified
FL763326200Medicaid