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NPI Code Detail

MEDICARE: ASHLEY HENNING DO

MEDICARE: ASHLEY HENNING DO
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
1207R00000XInternal Medicine PhysicianOS21285FL
2207PS0010XSports Medicine (Emergency Medicine) PhysicianOS21285FL

General Provider Information

NPI Number : 1518594712
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY HENNING DO
Provider Business Mailing Address
First Line : 3334 CAPITAL MEDICAL BLVD STE 400
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4470
Country : US
Telephone Number : 850-877-8174
Fax Number :
Provider Business Practice Location Address
First Line : 3334 CAPITAL MEDICAL BLVD STE 400
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4470
Country : US
Telephone Number : 850-877-8174
Fax Number : 844-261-6839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 02/10/2026

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Directions to “ ASHLEY HENNING DO” Practice Location

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