Henderson, Michelle

Henderson, Michelle is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy Ste 405, Cocoa Beach FL 32931-3577. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Henderson, Michelle can be contacted via phone (321) 868-8330.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Ste 405 Cocoa Beach FL 32931-3577
Phone: (321) 868-8330
Fax: (321) 868-8336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME91540 Florida

Profile Details

NPI number 1124028840
LBN Legal business name Henderson, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jun 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124028840 NPPES
Florida MEDICAID 1056501
Florida MEDICAID 271064100

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