Individual
DR. MICHAEL S. HENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 MORNINGSIDE DR, MOUNT DORA, FL 32757-6610
(352) 383-0733
(352) 383-7112
Mailing address
515 W STATE ROAD 434, SUITE 210, LONGWOOD, FL 32750-4981
(407) 332-8080
(407) 260-0602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME64349
FL
207ND0900X
Dermatopathology Physician
Primary
ME64349
FL
207ZD0900X
Dermatopathology (Pathology) Physician
ME64349
FL
Other
Enumeration date
03/23/2006
Last updated
11/18/2022
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