Individual
MR. GLENN H HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1300 MICCOSUKEE RD, HOSPITALIST GROUP, TALLAHASSEE, FL 32308-5054
(850) 431-4997
(850) 431-6315
Mailing address
1300 MICCOSUKEE RD, HOSPITALIST GROUP, TALLAHASSEE, FL 32308-5054
(850) 431-4997
(850) 431-6315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2907232
—
FL
Enumeration date
07/28/2006
Last updated
06/19/2014
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