Individual
FLORITA CEZARINA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
522 N HANCOCK ST, OTTUMWA, IA 52501-4231
(641) 683-0800
(641) 683-0801
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(641) 683-0800
(641) 683-0801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-39689
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770711939
—
IA
01
—
P01104140
RR MEDICARE
IA
Enumeration date
06/26/2009
Last updated
10/16/2018
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