Provider Demographics
NPI:1265402333
Name:GARGUILO, HEIDI LYNN (DNP)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:LYNN
Last Name:GARGUILO
Suffix:
Gender:F
Credentials:DNP
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Other - First Name:
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Other - Credentials:
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:561-691-3260
Mailing Address - Fax:561-691-3260
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:561-691-3260
Practice Address - Fax:561-691-3260
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL3075062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily