Organization
HAPPY HEARTS SURGICAL ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW KENICK PA-C (PHYSICIAN ASSISTANT)
(954) 298-1218
Entity
Organization
Contact information
Practice address
4023 PALM PL, WESTON, FL 33331-5036
(954) 298-1218
(954) 917-6817
Mailing address
4023 PALM PL, WESTON, FL 33331-5036
(954) 298-1218
(954) 917-6817
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3593
FL
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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