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Search › Florida › 207R00000X

Douglas Henricks, M.D

NPI 1417970948 · on the registry since 2006

Practice

Address
2450 Tamiami Trl
Port Charlotte, FL 33952
Phone
(941) 624-2704
Fax
(941) 627-6066
Organisation at this address
Millennium Physician Group Llc
Millennium Physician Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Additional practice sites

  • 6311 S Pointe Blvd, Fort Myers, FL
  • 6311 S Pointe Blvd, Fort Myers, FL

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida