Alexis Patrice Henderson Valid NPI

Individual provider · Pain Medicine Physician · Clearwater, FL

NPI

1245431360

Type

Individual (Type 1)

Primary specialty

Pain Medicine Physician (Pain Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208VP0000X

License number

ME38866 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-05-29

Last updated

2019-09-16