Organization
HENDERSON CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS S HENDERSON DC (OWNER)
(352) 373-4646
Entity
Organization
Contact information
Practice address
3909 W NEWBERRY RD, SUITE H, GAINESVILLE, FL 32607-2396
(352) 373-4646
(352) 378-8487
Mailing address
3909 W NEWBERRY RD, SUITE H, GAINESVILLE, FL 32607-2396
(352) 373-4646
(352) 378-8487
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053000000
—
FL
Enumeration date
01/26/2016
Last updated
01/26/2016
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