Individual
MS. KEISA MARIA HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10945 SW 16TH ST APT 103, PEMBROKE PINES, FL 33025-5535
(754) 202-6889
Mailing address
10945 SW 16TH ST APT 103, PEMBROKE PINES, FL 33025-5535
(754) 202-6889
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5199419
FL
Other
Enumeration date
08/27/2019
Last updated
03/20/2026
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