# GREGORY L HENDERSON MD FACS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREGORY L HENDERSON MD FACS INC
- **Other names:** Florida Eye Specialists and Cataract Institute
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144214552
- **Legal business name:** GREGORY L HENDERSON MD FACS INC
- **Authorized official:** MR. GREGORY L HENDERSON SR. MD (PRESIDENT)
- **Authorized official phone:** (813) 681-1122

## Contact information

- **Practice address:** 135 W ROBERTSON ST, BRANDON, FL 33511-5111
- **Practice address phone:** (813) 685-0001
- **Practice address fax:** (813) 685-0008
- **Mailing address:** 403 VONDERBURG DR, BRANDON, FL 33511-5982
- **Mailing address phone:** (813) 681-1122
- **Mailing address fax:** (813) 684-4924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0609838-03 | — | FL |
| 05 | — | 060983803 | — | FL |