Individual
ELLEN MIDDLETON HENDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 NW 76TH DR STE A, GAINESVILLE, FL 32607-6663
(352) 332-4051
(352) 332-2966
Mailing address
350 NW 76TH DR STE A, GAINESVILLE, FL 32607-6663
(352) 332-4051
(352) 332-2966
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA9112395
FL
Other
Enumeration date
05/09/2019
Last updated
04/03/2023
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