MEDICARE: MR. RAYMOND B HENDRICKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility	6906749	FL

General Provider Information

NPI Number	:	1144699646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAYMOND B HENDRICKS

Provider Business Mailing Address
First Line	:	1306 ANNETTE ST
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33980
Country	:	US
Telephone Number	:	941-764-1572
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 ANNETTE ST
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33980
Country	:	US
Telephone Number	:	941-764-1572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2015
Last Update Date	:	09/15/2015

Similar Medicare Providers

1023860368 — ROSALIA HERNANDEZ
Practice Location Address:

4036 RIVER BANK WAY
PORT CHARLOTTE, FL
33980-6515

Practice Phone: 239-822-7460
Practice Fax:

1760488464 — DR. IDA JOANN GAGLIARDI M.D.
Practice Location Address:

4300 KINGS HWY , SUITE 210
PORT CHARLOTTE, FL
33980-2917

Practice Phone: 239-344-2306
Practice Fax: 941-629-2365

1174520910 — ADVANCED REHABILITATION MEDICAL SERVICES
Practice Location Address:

4265 LAURA ST
PORT CHARLOTTE, FL
33980-2836

Practice Phone: 941-764-7117
Practice Fax: 941-764-1049

1083608475 — DR. PAMELA PAPOLA M.D.
Practice Location Address:

22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL
33980-2005

Practice Phone: 941-235-4900
Practice Fax: 941-235-4901

1003800939 — DR. ELVIN M MENDEZ MD
Practice Location Address:

22655 BAYSHORE RD , STE 130
PORT CHARLOTTE, FL
33980-2005

Practice Phone: 941-255-3722
Practice Fax: 941-255-3723

1730175159 — CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC
Practice Location Address:

23970 SUNCOAST BLVD
PORT CHARLOTTE, FL
33980-2739

Practice Phone: 941-625-3636
Practice Fax: 941-764-7542

1932196029 — CRAIG MACARTHUR M.D.
Practice Location Address:

22655 BAYSHORE RD STE 110
PORT CHARLOTTE, FL
33980-2005

Practice Phone: 941-235-4900
Practice Fax: 941-235-4901

Directions to “ MR. RAYMOND B HENDRICKS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.