Individual
CHRISTOPHER C HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 399-6811
(904) 346-0113
Mailing address
PO BOX 860554, ORLANDO, FL 32886-0554
(904) 346-3606
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0081250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58757
BCBS
FL
Enumeration date
09/22/2006
Last updated
07/08/2007
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