Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey H. Henderson MD PA

Organization Specialist · NPI 1689792624

Corey H. Henderson MD PA is a Specialist in Tavares, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Waterman Way
Tavares, FL 32778
Phone: (407) 886-8164
Fax: (407) 475-0280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1689792624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corey Henderson — Owner · (407) 221-1706
NPI enumeratedMarch 27, 2007
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022
Mailing addressPo Box 1409, Eustis, FL 32727-1409

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