Derek Henningsen
NPI #1992153209 in Debary, Florida
Provider Information
- NPI Number
- 1992153209
- Entity Type
- Individual
- Name
- Derek Henningsen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- May 26, 2016
- Last Updated
- May 26, 2016
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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