Doctor Name: | DR. LAUREN SUSAN HENDRIX |
NPI Number: | 1033486766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | UO2721 |
Business Practice Address: | 3030 North Rocky Point Drive West Suite 670 Tampa, FL - 336075906 |
Business Phone Number: | 8132896597 |
Business Fax Number: | 8132896592 |
Mailing Address: | 3030 North Rocky Point Drive West, Suite 670 TAMPA |
State: | FL |
Postal Code: | 336075906 |
Phone Number: | 8132896597 |
Fax Number: | 8132896592 |
NPI Enumeration Date: | 11/23/2011 |
NPI Last Update Date: | 04/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | UO2721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |