Provider Demographics
NPI:1144320318
Name:PRESTON, HELEN ANN (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:ANN
Last Name:PRESTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:ANN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:131 E REDSTONE AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32539-5326
Mailing Address - Country:US
Mailing Address - Phone:850-398-5922
Mailing Address - Fax:850-398-6133
Practice Address - Street 1:131 E REDSTONE AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32539-5326
Practice Address - Country:US
Practice Address - Phone:850-398-5922
Practice Address - Fax:850-398-6133
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100932207RC0000X, 207RS0012X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA0665OtherMEDCOST
NC127EPOtherBCBS OF NC
FL25027OtherBLUE CROSS BLUE SHIELD
FL280585500Medicaid
FL470293OtherWELLCARE
NC89217EPMedicaid
NC38759OtherPARTNERS MEDICARE
NC2508518OtherUHC OF NC
FLDQ7764OtherMEDICARE RAILROAD CARRIER
NC89217EPMedicaid
FL280585500Medicaid
2280852CMedicare PIN
FL25027OtherBLUE CROSS BLUE SHIELD