Organization
COREY H. HENDERSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY H HENDERSON M.D. (OWNER)
(407) 221-1706
Entity
Organization
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778
(407) 886-8164
(407) 475-0280
Mailing address
PO BOX 1409, EUSTIS, FL 32727-1409
(352) 742-7735
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
05/27/2022
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