OSTEOPATHIC HERITAGE P.A. NPI 1316196744

NPI Information

  • NPI: 1316196744
  • Provider Name: OSTEOPATHIC HERITAGE, P.A.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 10D1092424
  • Address: 959 W JEFFERSON ST
    BROOKSVILLE, FL
    ZIP 34601
  • Phone: (352) 799-7000

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NPI Details

OSTEOPATHIC HERITAGE, P.A. is a family medicine in Brooksville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OSTEOPATHIC HERITAGE, P.A. NPI is 1316196744. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

959 W JEFFERSON ST
BROOKSVILLE, FL
ZIP 34601-427
Phone: (352) 799-7000
Fax: (352) 799-7077

The provider's authorized official is Jeffrey S. Grove .
The authorized official title is Owner/president and has the following contact phone number (352) 666-6950.

The CLIA number assigned to this NPI record is 10D1092424 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2008 and was last updated on 10/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS6098FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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