Individual
MR. GREGORY L HENDERSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME0026952
FL
207W00000X
Ophthalmology Physician
Primary
ME26952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059735
GHI
NY
05
—
065634800
—
FL
01
—
0805213
UNITED HEALTHCARE
FL
01
—
2074202
AETNA
FL
01
—
4092871
AETNA
FL
01
—
53493
BCBS FLORIDA
FL
Enumeration date
07/07/2005
Last updated
09/10/2020
Update your record
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