Individual provider · Type 1 NPI

Phyllis Lillian Hendry, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Jacksonville, FL

NPI number 1114998200 Active

Practice location

655 W 8th St, Ufjp Emergency Medicine
Jacksonville, FL 32209-6511

Call (904) 244-4124 Map

Fax (904) 244-3432

Mailing address

PO Box 44008, Ufjp Provider Enrollment
Jacksonville, FL 32231-4008

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XME54625 (FL)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XME54625 (FL)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1114998200

Phyllis Lillian Hendry, MD's National Provider Identifier is 1114998200, issued on Jan 28, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 23, 2008.