Individual
CHARLES H HENNEKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
FLORIDA ATLANTIC UNIVERSITY, 777 GLADES RD., BOCA RATON, FL 33431-0991
(561) 297-4074
Mailing address
2800 S OCEAN BLVD, PH-A, BOCA RATON, FL 33432-8332
(561) 297-4074
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
33712
MA
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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