Individual
HENRY H TING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-6351
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
39882
MN
207RC0000X
Cardiovascular Disease Physician
Primary
ME134039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
980720900
—
MN
Enumeration date
01/31/2006
Last updated
03/24/2021
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