Individual
ALEXIS PATRICE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 S. MAIN AVE, SUITE 318, CLEARWATER, FL 33765
(727) 420-9433
Mailing address
51 S MAIN AVE STE 318, CLEARWATER, FL 33765-3934
(727) 572-6261
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME38866
FL
Other
Enumeration date
05/29/2007
Last updated
09/16/2019
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