Organization
GREGORY L HENDERSON MD FACS INC
Active
Other names
Optics Soho PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY L HENDERSON SR. M.D. (PRESIDENT)
(813) 681-1122
Entity
Organization
Contact information
Practice address
711 S HOWARD AVE, SUITE 120, TAMPA, FL 33606-2465
(813) 708-5270
(813) 253-0933
Mailing address
403 VONDERBURG DR, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2224
FL
Other
Enumeration date
10/12/2009
Last updated
07/12/2023
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