IndividualActive
Lucas Heitman, PA
NPI 1114528312 · Physician Assistant · Pensacola, FL
Provider details
- NPI number
- 1114528312
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA9113784 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone: (850) 474-8000
Approximate (ZIP-level) locationGet directions
Mailing address
8333 N Davis Hwy
Pensacola, FL 32514-6050
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.