Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BEVERLY ANN HEINKING D.O.
NPI 1073593737
Family Medicine in Live Oak, FL

Active since January 19, 2006
300 PINEWOOD DR SW, LIVE OAK, FL 32064(386) 362-1014(386) 362-5076 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Beverly Ann Heinking D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY ANN HEINKING D.O. (NPI 1073593737) is an individual family medicine provider in Live Oak, Florida, licensed in Florida (OS5866) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1073593737
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBEVERLY ANN HEINKINGCredential: D.O.
Location Address300 PINEWOOD DR SWLive Oak, FL 32064-4029
Mailing Address300 Pinewood Dr SwLive Oak, FL 32064-4029 · (386) 362-1014 · Fax (386) 362-5076
Fax(386) 362-5076
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1073593737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · OS5866 Licensed in MO · R9F01
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

300 PINEWOOD DR SW, Live Oak, FL 32064

Other Identifiers 1

Other80431FL · B/c

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
300 PINEWOOD DR SW
LIVE OAK, FL 32064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073593737, enumerated as an "individual" on January 19, 2006.

The provider is located at 300 PINEWOOD DR SW LIVE OAK, FL 32064 and the phone number is (386) 362-1014.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.