# JEANA MARIE LLC

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

## Provider details

- **NPI number:** 1730532672
- **Authorized official:** MS. JEANA MARIE HEINZ PA (MEMBER)
- **Authorized official phone:** (954) 732-1222

## Contact information

- **Practice address:** 5352 LINTON BLVD, DELRAY MEDICAL CENTER, DELRAY BEACH, FL 33484-6514
- **Practice address phone:** (561) 498-4440
- **Mailing address:** 17345 SW 8TH ST, PEMBROKE PINES, FL 33029-4210
- **Mailing address phone:** (954) 732-1222
- **Mailing address fax:** (954) 430-6140

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2016
- **Last updated:** 10/12/2016