Individual
HENRY CORNEILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4445 ESSEX LN, SPRING HILL, FL 34606-1822
(321) 512-2950
Mailing address
4445 ESSEX LN, SPRING HILL, FL 34606-1822
(321) 512-2950
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
11/18/2019
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