Provider Demographics
NPI:1124449640
Name:HEALY, GENE (AP)
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:
Last Name:HEALY
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 PINEHURST RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5408
Mailing Address - Country:US
Mailing Address - Phone:727-437-8582
Mailing Address - Fax:
Practice Address - Street 1:1130 PINEHURST RD
Practice Address - Street 2:SUITE D
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5408
Practice Address - Country:US
Practice Address - Phone:727-437-8582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3311171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist