Organization
BERT J. HENKEL, DPM, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERT J HENKEL DPM (PRESIDENT)
(954) 981-8000
Entity
Organization
Contact information
Practice address
4301 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6634
(954) 981-8000
(954) 981-8002
Mailing address
4301 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6634
(954) 981-8000
(954) 981-8002
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
PO2555
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390388500
—
FL
Enumeration date
05/16/2011
Last updated
05/16/2011
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