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Individual
R A HENRIQUES
Active
Individual
R A HENRIQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME41259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME41259
STATE LICENSE NUMBER
FL
Enumeration date
08/15/2006
Last updated
07/08/2010
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