# HAPPY HEARTS SURGICAL ASSIST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184169393
- **Authorized official:** MR. MATTHEW KENICK PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (954) 298-1218

## Contact information

- **Practice address:** 4023 PALM PL, WESTON, FL 33331-5036
- **Practice address phone:** (954) 298-1218
- **Practice address fax:** (954) 917-6817
- **Mailing address:** 4023 PALM PL, WESTON, FL 33331-5036
- **Mailing address phone:** (954) 298-1218
- **Mailing address fax:** (954) 917-6817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA3593 | FL | Yes |

## Other

- **Enumeration date:** 12/23/2016
- **Last updated:** 12/23/2016