Organization
ANDREW D. HENRY M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL DAVIS (OFFICE MANAGER)
(813) 676-0234
Entity
Organization
Contact information
Practice address
9270 BAY PLAZA BLVD, 640, TAMPA, FL 33619-4499
(813) 676-0234
(813) 676-0237
Mailing address
9270 BAY PLAZA BLVD, 640, TAMPA, FL 33619-4499
(813) 676-0234
(813) 676-0237
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 79549
FL
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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