MEDICARE: BELINDA HENDERSON

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	171W00000X	Contractor

General Provider Information

NPI Number	:	1922292978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA HENDERSON

Provider Business Mailing Address
First Line	:	3560 NW 81ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-4520
Country	:	US
Telephone Number	:	305-301-4833
Fax Number	:

Provider Business Practice Location Address
First Line	:	3560 NW 81ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-4520
Country	:	US
Telephone Number	:	305-301-4833
Fax Number	:

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

Provider Enumeration Date	:	09/04/2007
Last Update Date	:	09/04/2007

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Directions to “ BELINDA HENDERSON ” Practice Location

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