Organization
GREGORY L HENDERSON MD FACS INC
Active
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
3115 W SWANN AVE, TAMPA, FL 33609-4617
(813) 492-2020
(813) 492-2099
Mailing address
403 VONDERBURG DR, BRANDON, FL 33511
(813) 681-1122
(813) 684-4924
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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