Henderson, Raymond
Henderson, Raymond is an individual health care provider with primary practice located at 1411 N Flagler Dr Suite 7300, West Palm Beach FL 33401-3404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Henderson, Raymond can be contacted via phone (561) 804-9898.Contact Information
Primary practice address
1411 N Flagler Dr Suite 7300
West Palm Beach FL 33401-3404
Phone: (561) 804-9898
Fax: (561) 804-9049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME59588 | Florida |
Profile Details
| NPI number | 1275648750 |
|---|---|
| LBN Legal business name | Henderson, Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Nov 17th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275648750 | NPPES |
| Florida | Other | P1024914 | FREEDOM |
| Florida | Other | 4510159 | FREEDOM |
| Florida | Other | 221891 | FREEDOM |
| Florida | MEDICAID | 055398100 | FREEDOM |
| Florida | Other | 1022165 | FREEDOM |
| Florida | Other | 1605100 | FREEDOM |
| Florida | Other | P01591843 | FREEDOM |
| Florida | Other | P963010 | FREEDOM |
| Florida | Other | 03303 | FREEDOM |
| Florida | Other | 12883 | FREEDOM |
| Florida | Other | 2886 | FREEDOM |
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