Healthcare Provider Details

I. General information

NPI: 1285564500
Provider Name (Legal Business Name): HEYNE HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 ARUBA CT
SATELLITE BEACH FL
32937-3810
US

IV. Provider business mailing address

436 ARUBA CT
SATELLITE BEACH FL
32937-3810
US

V. Phone/Fax

Practice location:
  • Phone: 321-604-0501
  • Fax:
Mailing address:
  • Phone: 321-604-0501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA DIANE HEYNE
Title or Position: MGR
Credential: APRN
Phone: 321-604-0501