Organization
ALBERT L HENRY, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY ROBYN HUGHES (OFFICE MANAGER)
(904) 269-6565
Entity
Organization
Contact information
Practice address
1665 KINGSLEY AVE, STE 107, ORANGE PARK, FL 32073-4415
(904) 269-6565
(904) 264-0529
Mailing address
1665 KINGSLEY AVE, STE 107, ORANGE PARK, FL 32073-4415
(904) 269-6565
(904) 264-0529
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ME0054173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07472
BCBS OF FLORIDA
FL
Enumeration date
03/18/2008
Last updated
03/21/2008
Update your record
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