| NPI | 1245733385 |
|---|---|
| Doing Business As | HERITAGE PHYSICIANS SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J KENNY Owner 888-828-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME57874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13843) |
| 363A00000X Physician Assistant (Licence: FL PA9104027) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |