Provider Demographics
NPI:1013461904
Name:HENRY ALEXANDER SPRATT MD, PA
Entity Type:Organization
Organization Name:HENRY ALEXANDER SPRATT MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:SPRATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-239-7350
Mailing Address - Street 1:7261 SHERIDAN ST
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2706
Mailing Address - Country:US
Mailing Address - Phone:786-239-7350
Mailing Address - Fax:239-369-1537
Practice Address - Street 1:7261 SHERIDAN ST
Practice Address - Street 2:SUITE 100B
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-2706
Practice Address - Country:US
Practice Address - Phone:786-239-7350
Practice Address - Fax:239-369-1537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008083900Medicaid
FL008083900Medicaid