Organization
MICHELLE HENNE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HENNE M.D. (PRESIDENT)
(321) 759-2562
Entity
Organization
Contact information
Practice address
1510 S LAKE ROCHELLE DR, WINTER HAVEN, FL 33881-9645
(321) 759-2562
Mailing address
1201 N SCENIC HWY, BABSON PARK, FL 33827-9751
(863) 401-4401
(863) 410-1108
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
261QS1000X
Student Health Clinic/Center
ME121120
FL
Other
Enumeration date
05/11/2017
Last updated
06/06/2017
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