Individual
LAURENCE HEATWOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
190 JOHN F KENNEDY DR, ATLANTIS, FL 33462-1186
(561) 967-4118
(561) 967-3463
Mailing address
8078 SAW PALMETTO LN, BOYNTON BEACH, FL 33436-1428
(561) 398-8830
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11031318
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11031318
FL
Other
Enumeration date
03/05/2024
Last updated
03/23/2026
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