Loretta V Henderson, DPM

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

P00001685 Issued in FL

Legal business name

LORETTA V HENDERSON, DPM

Practice address

1543 Aldersgate Dr
Kissimmee, FL 34746-6545

Phone

(866) 365-3668

Fax

(407) 281-4044

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Loretta V Henderson, DPM

Title

Proprietor

Phone

(866) 365-3668

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327104000000",
    "number": "1427226364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720849",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328720849",
            "telephone_number": "866-365-3668",
            "fax_number": "407-281-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 ALDERSGATE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466545",
            "telephone_number": "866-365-3668",
            "fax_number": "407-281-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTA V HENDERSON, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2012-01-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "866-365-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "FL",
            "license": "P00001685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029627900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris Lorenzo, MHC
• Luz Seleynie Lorenzo, RBT
• Mayra Lorenzo
• Renee Loretdemola
• Loretta V Henderson DPM
• Lorey Alf
• Jossie Loriston
• Nancy Lormand
• Jovans Rolph Lorquet, MD
• Fredo Louis Jeune

• Podiatric Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Podiatric Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.