# HERITAGE PHYSICIANS SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Physicians Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245733385
- **Authorized official:** MICHAEL J KENNY (OWNER)
- **Authorized official phone:** (888) 828-8251

## Contact information

- **Practice address:** 600 HERITAGE DR STE 130B, JUPITER, FL 33458-3000
- **Practice address phone:** (561) 701-3896
- **Mailing address:** PO BOX 780, JUPITER, FL 33468-0780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MH13843 | FL | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | ME57874 | FL | Yes |
| 363A00000X | Physician Assistant | PA9104027 | FL | — |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 03/15/2018