Organization
HERITAGE PHYSICIANS SERVICES
Active
Other names
Heritage Physicians Services
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J KENNY (OWNER)
(888) 828-8251
Entity
Organization
Contact information
Practice address
600 HERITAGE DR STE 130B, JUPITER, FL 33458-3000
(561) 701-3896
Mailing address
PO BOX 780, JUPITER, FL 33468-0780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH13843
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME57874
FL
363A00000X
Physician Assistant
PA9104027
FL
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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