| NPI | 1558088070 |
|---|---|
| Doing Business As | HERITAGE PARK |
| Entity Type | Organization |
| Authorized Contact | ANGELA CRAIG Director Of Billing 321-698-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |