Organization
HENRY A REDMON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY ARVIL REDMON M.D. (OWNER)
(813) 264-2676
Entity
Organization
Contact information
Practice address
707 W FLETCHER AVE, TAMPA, FL 33612-3422
(813) 264-2676
(813) 264-4433
Mailing address
707 W FLETCHER AVE, TAMPA, FL 33612-3422
(813) 264-2676
(813) 264-4433
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
FS0975410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609860378
NPI-INDIVIDUAL
FL
Enumeration date
01/19/2011
Last updated
01/19/2011
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