Organization
FIDEL HERNANDO HENRIQUEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIDEL HERNANDO HENRIQUEZ MDPA (PHYSICIAN)
(954) 442-1402
Entity
Organization
Contact information
Practice address
10796 PINES BLVD, SUITE 103, PEMBROKE PINES, FL 33026-3919
(954) 442-1402
(954) 442-1418
Mailing address
10796 PINES BLVD, SUITE 103, PEMBROKE PINES, FL 33026-3919
(954) 442-1402
(954) 442-1418
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME0058002
FL
Other
Enumeration date
12/19/2006
Last updated
05/27/2010
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