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Organization

MICHAEL W. HENNIGAN, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL HENNIGAN M.D. (PRESIDENT)
(850) 914-8618
Entity
Organization

Contact information

Practice address
1847 FLORIDA AVE, PANAMA CITY, FL 32405-4640
(850) 914-8618
(850) 914-8669
Mailing address
1847 FLORIDA AVE, PANAMA CITY, FL 32405-4640
(850) 914-8618
(850) 914-8669

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0064533
FL

Other

Enumeration date
04/02/2008
Last updated
09/22/2010
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