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1417970948
DOUGLAS GLENN HENRICKS
PORT CHARLOTTE, FL
NPI
1417970948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME0041258)
Enumeration Date
2006-07-25
Last Update Date
2019-03-12
Business Address
DOUGLAS GLENN HENRICKS M.D.
2450 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Phone number: 941-624-2704
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Mailing Address
DOUGLAS GLENN HENRICKS M.D.
3434 HANCOCK BRIDGE PKWY STE 301
NORTH FORT MYERS, FL 33903-7099
Phone number: 877-856-3774
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