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

Derek Henningsen

Individual provider Exclusive Provider Organization · NPI 1992153209

Derek Henningsen is an Exclusive Provider Organization in Debary, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
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Practice location Address checks out

132 Lucerne Dr
Debary, FL 32713-2914
Phone: (321) 363-6592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence W325026 (FL)

Record details

NPI number1992153209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 26, 2016
Last updated in NPPESMay 26, 2016