# MR. GREGORY L HENDERSON SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1427055227
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME0026952 | FL | — |
| 207W00000X | Ophthalmology Physician | ME26952 | FL | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 09/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0059735 | GHI | NY |
| 05 | — | 065634800 | — | FL |
| 01 | — | 0805213 | UNITED HEALTHCARE | FL |
| 01 | — | 2074202 | AETNA | FL |
| 01 | — | 4092871 | AETNA | FL |
| 01 | — | 53493 | BCBS FLORIDA | FL |