Provider Demographics
NPI:1134713142
Name:HLG MEDICAL INC
Entity type:Organization
Organization Name:HLG MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GARGUILO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:561-512-8681
Mailing Address - Street 1:7783 CANNON BALL RD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7808
Mailing Address - Country:US
Mailing Address - Phone:561-512-8681
Mailing Address - Fax:949-561-4589
Practice Address - Street 1:7783 CANNON BALL RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-7808
Practice Address - Country:US
Practice Address - Phone:561-512-8681
Practice Address - Fax:949-561-4589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical