Individual
ANDRES HENAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6200 SW 72ND ST STE 602, SOUTH MIAMI, FL 33143-4831
(786) 662-0600
(786) 533-9419
Mailing address
PO BOX 100905, ATLANTA, GA 30384-0905
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9109715
FL
Other
Enumeration date
09/23/2016
Last updated
01/30/2022
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