# ROBERT C HENDERSON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225342553
- **Authorized official:** DR. ROBERT CONNAR HENDERSON MD (OWNER/OPERATOR)
- **Authorized official phone:** (813) 879-6603

## Contact information

- **Practice address:** 4600 N HABANA AVE, 30, TAMPA, FL 33614-7112
- **Practice address phone:** (813) 879-6603
- **Practice address fax:** (813) 879-6805
- **Mailing address:** 4600 N HABANA AVE, 30, TAMPA, FL 33614-7112
- **Mailing address phone:** (813) 879-6603
- **Mailing address fax:** (813) 879-6805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME0036678 | FL | Yes |

## Other

- **Enumeration date:** 07/28/2010
- **Last updated:** 07/28/2010