Individual
MICHAEL HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
907 MAR WALT DR, SUITE 2024, FT WALTON BEACH, FL 32547-6960
(850) 243-2229
(850) 862-0124
Mailing address
907 MAR WALT DR, SUITE 2024, FT WALTON BEACH, FL 32547-6960
(850) 243-2229
(850) 862-0124
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME83428
FL
Other
Enumeration date
04/17/2006
Last updated
08/15/2011
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