Individual
HENRY CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6105 MEMORIAL HWY, SUITE J, TAMPA, FL 33615-4597
(813) 431-9786
(813) 920-0852
Mailing address
6105 MEMORIAL HWY., SUITE J, TAMPA, FL 33615
(813) 431-9786
(813) 920-0852
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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