Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Heritage Family Medicine, LLC

Organization Family Medicine Physician · NPI 1124462981

Heritage Family Medicine, LLC provides Family Medicine Physician services in Bonifay, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 E Wisconsin Ave
Bonifay, FL 32425-1809 Not confirmed with CMS for 13 years — call before visiting
Phone: (850) 547-2209
Fax: (850) 547-4521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME105126 (FL)

Record details

NPI number1124462981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Hawkins — Physician · (850) 547-2209
NPI enumeratedApril 24, 2013
Last updated in NPPESApril 24, 2013
Mailing address101 E Wisconsin Ave, Bonifay, FL 32425-1809

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