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Contact Information

MICHELLE HENNE, M.D., P.A.
1510 S LAKE ROCHELLE DR
WINTER HAVEN, FL33881-9645
 Phone: 321-759-2562
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for MICHELLE HENNE, M.D., P.A.

NPI # 1225564073
LBN Legal business name MICHELLE HENNE, M.D., P.A.
Authorized official MICHELLE HENNE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2017
Last updated 06/06/2017 - About 9 years ago
Identifiers
FL License # ME121120
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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