MEDICARE: MS. KEISA MARIA HEARD LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN5199419	FL

General Provider Information

NPI Number	:	1659929396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KEISA MARIA HEARD LPN

Provider Business Mailing Address
First Line	:	10945 SW 16TH ST APT 103
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-5535
Country	:	US
Telephone Number	:	754-202-6889
Fax Number	:

Provider Business Practice Location Address
First Line	:	10945 SW 16TH ST APT 103
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-5535
Country	:	US
Telephone Number	:	754-202-6889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2019
Last Update Date	:	03/20/2026

Similar Medicare Providers

1649225624 — DR. JENNIFER JORDAN LANDER P. T.
Practice Location Address:

163 WINDING WAY
PEMBROKE, GA
31321-5535

Practice Phone: 912-547-0181
Practice Fax: 912-653-7979

1003625062 — DAVID ERNESTO SIMON APRN
Practice Location Address:

801 S DOUGLAS RD
PEMBROKE PINES, FL
33025-1355

Practice Phone: 203-490-8562
Practice Fax:

1174886063 — MARINA MOLITOR PA-C
Practice Location Address:

12177 PEMBROKE RD
PEMBROKE PINES, FL
33025-1727

Practice Phone: 954-436-0555
Practice Fax:

1376207340 — DR. TARA WILLIAMS DNP, RN
Practice Location Address:

10360 CITY CENTER BLVD
PEMBROKE PINES, FL
33025-4488

Practice Phone: 267-663-8354
Practice Fax:

1215578661 — ELDA MARIA MARTINEZ RBT
Practice Location Address:

1200 SW 85TH TER
PEMBROKE PINES, FL
33025-3310

Practice Phone: 305-613-8602
Practice Fax:

1346593985 — MS. MELISSA A WILLIAMS PMHNP-BC
Practice Location Address:

11709 SW 13TH CT
PEMBROKE PINES, FL
33025-4812

Practice Phone: 631-960-2459
Practice Fax:

Directions to “ MS. KEISA MARIA HEARD LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.