Individual
RAYMOND HENDERSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 N FLAGLER DR, SUITE 7300, WEST PALM BEACH, FL 33401-3404
(561) 804-9898
(561) 804-9049
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME59588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03303
WELLCARE
FL
05
—
055398100
—
FL
01
—
1022165
CAREPLUS
FL
01
—
12883
BCBS
FL
01
—
1605100
CIGNA
FL
01
—
221891
AVMED
FL
01
—
2886
DIMENSION
FL
01
—
4510159
AETNA
FL
01
—
P01591843
RR MEDICARE
FL
01
—
P1024914
FREEDOM
FL
01
—
P963010
OPTIMUM
FL
Enumeration date
08/21/2006
Last updated
11/17/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us