Organization
HENRY LEPELY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY LEPELY MD (OWNER)
(904) 737-1300
Entity
Organization
Contact information
Practice address
4131 UNIVERSITY BLVD S STE 7, JACKSONVILLE, FL 32216-4346
(904) 737-1300
(904) 737-9007
Mailing address
4131 UNIVERSITY BLVD S STE 7, JACKSONVILLE, FL 32216-4346
(904) 737-1300
(904) 737-9007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME54943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048191200
—
FL
Enumeration date
03/27/2012
Last updated
03/27/2012
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