Hendry, Phyllis Lillian

Hendry, Phyllis Lillian is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Emergency Medicine, Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Hendry, Phyllis Lillian can be contacted via phone (904) 244-4124.

Contact Information

Primary practice address
655 W 8Th St Ufjp Emergency Medicine Jacksonville FL 32209-6511
Phone: (904) 244-4124
Fax: (904) 244-3432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME54625 Florida
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME54625 Florida

Profile Details

NPI number 1114998200
LBN Legal business name Hendry, Phyllis Lillian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jul 23rd, 2008 - about 16 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 1114998200 NPPES
Georgia MEDICAID 000469829A
Georgia MEDICAID 0549053-00

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