MEDICARE: DR. PATRICK HEYMAN PH.D., ARNP

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	363LA2200X	Adult Health Nurse Practitioner	ARNP3382822	FL

General Provider Information

NPI Number	:	1932356516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK HEYMAN PH.D., ARNP

Provider Business Mailing Address
First Line	:	901 S FLAGLER DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6505
Country	:	US
Telephone Number	:	561-803-2829
Fax Number	:	561-803-2828

Provider Business Practice Location Address
First Line	:	901 S FLAGLER DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6505
Country	:	US
Telephone Number	:	561-803-2829
Fax Number	:	561-803-2828

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

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	08/26/2008

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