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Individual

MR. COREY EVAN HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
4958 SUN N LAKE BLVD, SEBRING, FL 33872
(863) 385-8004
(863) 385-2330
Mailing address
4958 SUN N LAKE BLVD, SEBRING, FL 33872-2167
(863) 385-8004
(863) 385-2330

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9310474
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015937300
FL
Enumeration date
10/21/2015
Last updated
07/09/2018
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