Dr. Phyllis Lillian Hendry
M.D. | Pediatric Emergency Medicine | Female
Dr. Phyllis Lillian Hendry, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Phyllis Lillian Hendry is
655 W 8th St, Ufjp Emergency Medicine, Jacksonville, Florida - 32209-6511. She can be contacted on phone at
904-244-4124 and fax number 904-244-3432.
Dr. Phyllis Lillian Hendry is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Phyllis Lillian Hendry is
1114998200 which was assigned by NPPES on 28 Jan, 2006 and it was last updated on 23 Jul, 2008.
Dr. Phyllis Lillian Hendry license number is
ME54625 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Florida.
Dr. Phyllis Lillian Hendry has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Phyllis Lillian Hendry basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Phyllis Lillian Hendry |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Phyllis Lillian Hendry address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 655 W 8th St, Ufjp Emergency Medicine
Jacksonville, FL, 32209-6511
United States |
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| Phone Number : | 904-244-4124 |
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| Fax Number : | 904-244-3432 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114998200 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jan, 2006 |
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| Last Updated On : | 23 Jul, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Phyllis Lillian Hendry are as mentioned. Primary taxonomy code for Dr. Phyllis Lillian Hendry, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | ME54625 | FL |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | ME54625 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Phyllis Lillian Hendry such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000469829A | MEDICAID | GA | |
| 0549053-00 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 44008, Ufjp Provider Enrollment
Jacksonville, FL, 32231-4008
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Phyllis Lillian Hendry practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.