Healthcare Provider Details

I. General information

NPI: 1598751216
Provider Name (Legal Business Name): OSTEOPATHIC HERITAGE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 SEVEN HILLS DR
SPRING HILL FL
34609-0235
US

IV. Provider business mailing address

118 SEVEN HILLS DR
SPRING HILL FL
34609-0235
US

V. Phone/Fax

Practice location:
  • Phone: 352-666-6950
  • Fax: 352-666-6438
Mailing address:
  • Phone: 352-666-6950
  • Fax: 352-666-6438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberOS6098
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: JEFFREY S. GROVE
Title or Position: PHYSICIAN/OWNER
Credential: D.O.
Phone: 352-666-6950