Loretta V Henderson, Dpm

LBN: Loretta V Henderson, Dpm
Loretta V Henderson, Dpm is an health care organization with primary practice located at 1543 Aldersgate Dr , Kissimmee FL 34746-6545. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Loretta V Henderson, Dpm can be contacted via phone (866) 365-3668, or through Henderson, Loretta V via phone (866) 365-3668.

Contact Information

Primary practice address
1543 Aldersgate Dr Kissimmee FL 34746-6545
Phone: (866) 365-3668
Fax: (407) 281-4044
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Loretta V Doctor of Podiatric Medicine (DPM)
Phone: (866) 365-3668

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X P00001685 Florida

Profile Details

NPI number 1427226364
LBN Legal business name Loretta V Henderson, Dpm
DBA Doing business as
Authorized official Henderson, Loretta V Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Jan 21st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427226364 NPPES
Florida MEDICAID 029627900

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