Healthcare Provider Details

I. General information

NPI: 1932356516
Provider Name (Legal Business Name): PATRICK HEYMAN PH.D., ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 08/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 S FLAGLER DR
WEST PALM BEACH FL
33401-6505
US

IV. Provider business mailing address

901 S FLAGLER DR
WEST PALM BEACH FL
33401-6505
US

V. Phone/Fax

Practice location:
  • Phone: 561-803-2829
  • Fax: 561-803-2828
Mailing address:
  • Phone: 561-803-2829
  • Fax: 561-803-2828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP3382822
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: