Individual
FIDEL H HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10796 PINES BLVD, SUITE 103, PEMBROKE PINES, FL 33026-3905
(954) 442-1402
(954) 442-1418
Mailing address
10796 PINES BLVD, SUITE 103, PEMBROKE PINES, FL 33026-3905
(954) 442-1402
(954) 442-1418
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME0058002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0058002
LICENSE
FL
Enumeration date
06/14/2006
Last updated
05/17/2017
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