Organization
SHEILA DAWN HENDERSON, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA DAWN HENDERSON D.O., P.A. (PHYSICIAN/OWNER)
(941) 764-6645
Entity
Organization
Contact information
Practice address
2300 LOVELAND BLVD, STE. 1, PORT CHARLOTTE, FL 33980
(941) 764-6645
(941) 764-0391
Mailing address
2300 LOVELAND BLVD, STE. 1, PORT CHARLOTTE, FL 33980
(941) 764-6645
(941) 764-0391
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS8343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269511100
—
FL
01
—
37960
BLUE CROSS
FL
Enumeration date
06/01/2006
Last updated
09/30/2008
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