Individual
DR. RICHARD L HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1608 SURGEONS DR, TALLAHASSEE, FL 32308-4683
(850) 702-5020
Mailing address
PO BOX 452198, SUNRISE, FL 33345-2198
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME46736
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME46736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061945100
—
FL
Enumeration date
12/02/2005
Last updated
09/20/2023
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