Individual
MICHAEL JAMES HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1210 US HIGHWAY 27 N, LAKE PLACID, FL 33852-7948
(863) 699-4372
Mailing address
210 3RD ST W, BRADENTON, FL 34205-8816
(941) 745-2672
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS8911
FL
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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