Gregory L Henderson MD Facs INC

NPI #1568130441 in St. Peterburg, Florida

Provider Information

NPI Number: 1568130441
Entity Type: Organization
Organization Name: Gregory L Henderson MD Facs INC
Subpart: Yes (part of a larger organization)
Parent Organization: GREGORY L HENDERSON MD FACS INC
Primary Specialty: Ophthalmology
Enumeration Date: Sep 3, 2021
Last Updated: Sep 3, 2021

Practice Location

Address: 5800 49TH ST. N.
Address 2: STE 5108
City: St. Peterburg
State: Florida
ZIP Code: 33709-2146
Phone: (727) 390-3937

Authorized Official

Name: MR. GREGORY L HENDERSON SR., MD
Title: PRESIDENT
Phone: (813) 681-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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