Individual
DR. MICHAEL JAY HENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22378 BOYACA AVE., BOCA RATON, FL 33433-4625
(561) 487-6780
Mailing address
22378 BOYACA AVE., BOCA RATON, FL 33433-4625
(561) 487-6780
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 44713
FL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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