HERITAGE PHYSICIANS SERVICES (NPI# 1245733385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245733385 |
| Entity Type | Organization |
| Organization Name | HERITAGE PHYSICIANS SERVICES |
| Other Organization Name | HERITAGE PHYSICIANS SERVICES |
| Practice Address |
600 Heritage Dr Ste 130b Jupiter FL 33458-3000 |
| Mailing Address |
Po Box 780 Jupiter FL 33468-0780 |
| Practice Telephone | 5617013896 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Authorized Official Name | MICHAEL J KENNY (OWNER) |
| Authorized Official Telephone | 8888288251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH13843 | FL | Behavioral Health & Social Service Providers |
| N | 363A00000X | Physician Assistant | PA9104027 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
ME57874 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heritage Physicians Services | Doing Business As Name - Organization |
| Street Address |
600 HERITAGE DR STE 130B |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265851299 | Clear Health of The Palm Beaches | Internal Medicine | 1095 Military Trl Unit 91, Jupiter, FL 33468-5005 | 2014-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685411 | Mark Schellhammer LLC | Internal Medicine | 7151 University Blvd Ste 120, Winter Park, FL 32792-6724 | 2020-03-27 |
| 1619527157 | Amron Vitality and Wellness Center, LLC | Internal Medicine | 6339 Argyle Forest Blvd Ste 3, Jacksonville, FL 32244-6601 | 2019-09-17 |
| 1952769754 | R N Singh Enterprises Pllc | Internal Medicine | 11760 Lynmoor Dr, Riverview, FL 33579-7037 | 2016-02-08 |
| 1518360726 | Family Health Care of Delray, Inc. | Internal Medicine | 7100 S Military Trl, Suite 7126, Lake Worth, FL 33463-7812 | 2014-10-01 |
| 1184043119 | Desert Rose Fl LLC | Internal Medicine | 835 Ardmore Rd, West Palm Beach, FL 33401-7631 | 2014-04-07 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1396182630 | Harp Diagnostics LLC | Internal Medicine | 2655 N Ocean Dr, 103, Riviera Beach, FL 33404-4751 | 2013-05-28 |
| 1861717514 | Fanuel Dorilas | Internal Medicine | 1229 Nw 40th Ave, Lauderhill, FL 33313-5801 | 2010-04-06 |
| 1083846034 | Carol S. Rudolph | Internal Medicine | 4949 S Congress Ave Ste B, Lake Worth, FL 33461-4731 | 2009-08-10 |
| 1730372178 | Michael P Strolla | Internal Medicine | 2214 A Henry Ave, Tampa, FL 33610 | 2007-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.