NPI 1003369190
David Lance Henderson
Practice location
- Address
- 91 Bay Bridge Dr, Gulf Breeze, FL 32561-4468
- Phone
- (850) 418-9890
- Mailing address
- 6569 Codell St, Navarre, FL 32566-8128
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1003369190
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Jul 2016
- Record last updated
- 26 Jul 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.