Healthcare Provider Details

I. General information

NPI: 1356993190
Provider Name (Legal Business Name): LAUREN WEISSING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 OKEECHOBEE RD
WEST PALM BEACH FL
33401-6294
US

IV. Provider business mailing address

951 OLD OKEECHOBEE RD STE A
WEST PALM BEACH FL
33401-6294
US

V. Phone/Fax

Practice location:
  • Phone: 561-227-6325
  • Fax: 561-838-5458
Mailing address:
  • Phone: 561-227-6325
  • Fax: 561-838-5458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11003200
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: