Individual
MS. SOPHIA DANIELLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6101 LAKE ELLENOR DR STE 105, ORLANDO, FL 32809-4616
(407) 322-8645
Mailing address
4930 E LAKE MARY BLVD, SANFORD, FL 32771-5003
(407) 322-8645
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11001404
FL
Other
Enumeration date
03/28/2019
Last updated
11/27/2023
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