Individual
BRODY LARS HENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2816 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 876-6321
(813) 870-0350
Mailing address
2816 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 876-6321
(813) 870-0350
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
28964
SC
2084N0400X
Neurology Physician
Primary
ME109304
FL
Other
Enumeration date
10/11/2006
Last updated
09/20/2024
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