HAPPY HEARTS SURGICAL ASSIST LLC
NPI 1184169393
Physician Assistant - Surgical in Weston, FL

Active since December 23, 2016
4023 PALM PL, WESTON, FL 33331(954) 298-1218(954) 917-6817 Get Directions Write a Review

NPPES record last updated: December 23, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physician Assistant
  • Surgical

About HAPPY HEARTS SURGICAL ASSIST LLC

This page provides the complete NPI Profile along with additional information for Happy Hearts Surgical Assist Llc, a provider established in Weston, Florida operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1184169393 assigned on December 2016. The practitioner's primary taxonomy code is 363AS0400X with license number PA3593 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Matthew Kenick Pa-c (Physician Assistant)

NPI
1184169393 Verify this NPI
Provider Name
HAPPY HEARTS SURGICAL ASSIST LLC
Entity Type
Organization
Location Address
4023 PALM PL WESTON, FL 33331
Location Phone
(954) 298-1218
Location Fax
(954) 917-6817
Mailing Address
4023 PALM PL WESTON, FL 33331
Mailing Phone
(954) 298-1218
Mailing Fax
(954) 917-6817
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-23-2016
Last Update Date
12-23-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA3593
License State
FL

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MATTHEW KENICK PA-C

Authorized Official Title
PHYSICIAN ASSISTANT
Authorized Official Phone
(954) 298-1218

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184169393, enumerated as an "organization" on December 23, 2016.

The provider is located at 4023 PALM PL WESTON, FL 33331 and the phone number is (954) 298-1218.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.