Albert L Henry, MD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

ME0054173 Issued in FL

Legal business name

ALBERT L HENRY, MD

Practice address

1665 Kingsley Ave
Ste 107
Orange Park, FL 32073-4415

Phone

(904) 269-6565

Fax

(904) 264-0529

NPI assigned

Mar 18, 2008

Last updated

Mar 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Wendy Robyn Hughes

Title

Office Manager

Phone

(904) 269-6565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1083885958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 KINGSLEY AVE",
            "address_2": "STE 107",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734415",
            "telephone_number": "904-269-6565",
            "fax_number": "904-264-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 KINGSLEY AVE",
            "address_2": "STE 107",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734415",
            "telephone_number": "904-269-6565",
            "fax_number": "904-264-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT L HENRY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ROBYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-269-6565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ME0054173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "07472",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rami Al Saidi
• Youssef Al-Saghir, MD
• Ahmed Muthanna Al-Tabaqchali, MD
• Sadie Alavi
• Rick Albarran, ARNP
• Alishia Albritton
• Runelon Alcudia, ARNP
• Marc L Alessandria, MD
• Michael Alexander-Luz, LCSW
• Hattie E Alexander, RPH

• Durable Medical Equipment & Medical Supplies in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.