Individual
ELIZABETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(077) 671-2004
Mailing address
12411 CRIOLLO RD, SPRING HILL, FL 34610-7887
(707) 287-6817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME15116
FL
Other
Enumeration date
04/26/2018
Last updated
07/15/2021
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