SHEILA DAWN HENDERSON, DO, PA
Medical Practice at Loveland Blvd, Port Charlotte, FL

License number
Florida OS8343
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: SHEILA DAWN HENDERSON D.O., P.A.
Title: PHYSICIAN/OWNER
Phone: (941) 764-6645
Address
Address
2300 Loveland Blvd STE. 1, Port Charlotte, FL 33980
National Provider ID: 1033156542
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Sheila Dawn Henderson, D.O., PA

Port Charlotte, FL  -  Punta Gorda, FL

Status:
Inactive
Industry:
Osteopathic Physician's Office
Registration:
Feb 20, 2006
Addresses:
4161 Tamiami Trl, Port Charlotte, FL 33952
99 Nesbit St, Punta Gorda, FL 33950
2300 Loveland Blvd, Port Charlotte, FL 33980
State ID:
P06000025661
Business type:
Domestic for Profit Corporation
Director, President, Secretary, Treasurers:
Sheila Dawn Henderson President, Treasurer, Director, Secretary, inactive,Sheila Dawn D Henderson Director, President, Secretary, Treasurer, inactive
Agent:
David Holmes

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