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Gaylord Hendricks
NPI 1700662376 · on the registry since 2023 · sole proprietor
Practice
- Address
- 716 Nw 1st Ave
Boynton Beach, FL 33426 - Phone
- (561) 541-3700
- Organisation at this address
- Pride Tribe Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-06
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