Provider Demographics
NPI:1316521958
Name:HEIGLE, SYDNEY MOHR (MD)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:MOHR
Last Name:HEIGLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:MICHELLE
Other - Last Name:MOHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 748817
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8817
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:4150 N ARMENIA AVE STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6448
Practice Address - Country:US
Practice Address - Phone:813-971-4555
Practice Address - Fax:866-554-1340
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK38121207V00000X
FLME174573207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology