Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK HENNINGSEN
Active Sole ProprietorDEREK HENNINGSEN is a Exclusive Provider Organization healthcare provider located in DEBARY, Florida. NPI 1992153209 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · DEBARY, FL
Registration Details
- NPI Number
- 1992153209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2016 (10.229426164559 yrs)
- Last Updated
- May 26, 2016
- License
-
W325026 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
132 LUCERNE DRDEBARY, FL, 327132914Browse FL providers · Browse ZIP 32713
- Phone
- 3213636592
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.