Individual
MR. NATHANIEL HENDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 OAK ST, JACKSONVILLE, FL 32205-8204
(904) 356-1612
(904) 356-7095
Mailing address
2715 OAK ST, JACKSONVILLE, FL 32205-8204
(904) 356-1612
(904) 356-7095
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690783100
—
FL
Enumeration date
04/26/2011
Last updated
04/26/2011
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