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MICHAEL DANIEL HENDERSON L.D.O.

Optician >> Technician/Technologist >> Eye and Vision Services Providers

Registrant NPI Number: 1366501231

Individual Registrant:
 MICHAEL DANIEL HENDERSON L.D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10365 S E HWY 441  BELLEVIEW, FL 34420 US
Tel: 352-245-3822  Fax: 352-245-4668

Contact information for business:
10365 S E HWY 441  BELLEVIEW, FL 34420 US
Tel: 352-245-3822  Fax: 352-245-4668

Registration Information:
NPI: 1366501231
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156FX1800XEye and Vision Services Providers
Technician/Technologist
Optician
FLDO3183FL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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