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Organization

RAYMOND HENDERSON MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE HENDERSON (OFFICE MANAGER)
(561) 804-9898
Entity
Organization

Contact information

Practice address
1717 N FLAGLER DR, SUITE 3, WEST PALM BEACH, FL 33407-6555
(561) 804-9898
(561) 804-9049
Mailing address
1717 N FLAGLER DR, SUITE 3, WEST PALM BEACH, FL 33407-6555
(561) 804-9898
(561) 804-9049

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME59588
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055398100
FL
Enumeration date
08/26/2010
Last updated
08/26/2010
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