Gregory L Henderson MD Facs INC

NPI #1821082249 in Sun City Center, Florida

Provider Information

NPI Number: 1821082249
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: Aug 31, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 1701 RICKENBACKER DR.
Address 2: STE 102
City: Sun City Center
State: Florida
ZIP Code: 33573-5361
Phone: (813) 634-7788

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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