Organization
JEANA MARIE LLC
Active
Organization
JEANA MARIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANA MARIE HEINZ PA (MEMBER)
(954) 732-1222
Entity
Organization
Contact information
Practice address
5352 LINTON BLVD, DELRAY MEDICAL CENTER, DELRAY BEACH, FL 33484-6514
(561) 498-4440
Mailing address
17345 SW 8TH ST, PEMBROKE PINES, FL 33029-4210
(954) 732-1222
(954) 430-6140
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
FL
Other
Enumeration date
07/15/2016
Last updated
10/12/2016
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