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Organization
MICHELLE HENNE, M.D., P.A.
Active
Organization
MICHELLE HENNE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HENNE M.D. (PRESIDENT)
(321) 759-2562
Entity
Organization
Contact information
Practice address
5421 S FLORIDA AVE, LAKELAND, FL 33813-2523
(863) 401-4401
(866) 824-2717
Mailing address
5421 S FLORIDA AVE, LAKELAND, FL 33813-2523
(863) 401-4401
(866) 824-2717
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
261QS1000X
Student Health Clinic/Center
ME121120
FL
Other
Enumeration date
05/11/2017
Last updated
08/17/2026
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