Organization
GOODENDOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ARTHUR HENNIGAN MD FACP FACE (OWNER)
(850) 773-3636
Entity
Organization
Contact information
Practice address
41 FAIRPOINT DR STE B, GULF BREEZE, FL 32561-4380
(850) 733-3636
(448) 444-5678
Mailing address
41 FAIRPOINT DR STE B, GULF BREEZE, FL 32561-4380
(850) 733-3636
(448) 444-5678
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
12/29/2021
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