Corey Henderson Np, Inc | |
6801 Us Highway 27 N Ste B1 Sebring FL 33870-1000 | |
(593) 591-2273 | |
(636) 585-5278 |
Full Name | Corey Henderson Np, Inc |
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Speciality | Clinic/Center |
Location | 6801 Us Highway 27 N Ste B1, Sebring, Florida |
Authorized Official Name and Position | Corey Evan Henderson (NURSE PRACTITIONER) |
Authorized Official Contact | 8632026301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Corey Henderson Np, Inc 6801 Us Highway 27 N Ste B1 Sebring FL 33870-1000 Ph: (863) 591-2273 | Corey Henderson Np, Inc 6801 Us Highway 27 N Ste B1 Sebring FL 33870-1000 Ph: (593) 591-2273 |
NPI Number | 1174113849 |
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Provider Enumeration Date | 01/26/2021 |
Last Update Date | 09/06/2023 |
Medicare PECOS PAC ID | 0840608840 |
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Medicare Enrollment ID | O20210412001731 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174113849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Corey E Henderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568834224 PECOS PAC ID: 7012297369 Enrollment ID: I20161205000024 |
Provider Name | Elizabeth Sager |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417326471 PECOS PAC ID: 8527365790 Enrollment ID: I20220426001427 |
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