MEDICARE: DR. HEDEN PRESENDIEU

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9340017	FL
2	363LF0000X	Family Nurse Practitioner	9340017	FL
3	207Q00000X	Family Medicine Physician	ME157838	FL

General Provider Information

NPI Number	:	1972921781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEDEN PRESENDIEU

Provider Business Mailing Address
First Line	:	111 NE 3RD AVE
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-3862
Country	:	US
Telephone Number	:	561-715-4058
Fax Number	:

Provider Business Practice Location Address
First Line	:	1054 GATEWAY BLVD STE 109
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-8309
Country	:	US
Telephone Number	:	561-715-4058
Fax Number	:	850-633-2424

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

Provider Enumeration Date	:	03/31/2014
Last Update Date	:	12/06/2023

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Directions to “ DR. HEDEN PRESENDIEU ” Practice Location

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