Provider Demographics
NPI:1457354698
Name:HENDLEY, ROBERT III
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:HENDLEY
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 9TH ST SW
Mailing Address - Street 2:STE 1C
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-4711
Mailing Address - Country:US
Mailing Address - Phone:772-349-0576
Mailing Address - Fax:
Practice Address - Street 1:1300 36TH ST
Practice Address - Street 2:STE 1C
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4898
Practice Address - Country:US
Practice Address - Phone:772-770-4911
Practice Address - Fax:772-569-4583
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0049021207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease