Provider Demographics
NPI:1245361252
Name:HENRY, BRIAN WINFIELD (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:WINFIELD
Last Name:HENRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13194 US HIGHWAY 301 S
Mailing Address - Street 2:STE182
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-7410
Mailing Address - Country:US
Mailing Address - Phone:813-704-2222
Mailing Address - Fax:
Practice Address - Street 1:500 VONDERBURG DR
Practice Address - Street 2:SUITE 306 EAST
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5964
Practice Address - Country:US
Practice Address - Phone:813-704-2222
Practice Address - Fax:813-327-3189
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor