Individual
MR. JONATHAN CLEON HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
636 DEL PRADO BOULEVARD, CAPE CORAL, FL 33990-2695
(239) 424-2222
Mailing address
4131 MATIA DR, FERNDALE, WA 98248-9539
(523) 561-2513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291231700
—
FL
Enumeration date
02/24/2006
Last updated
11/21/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us