{"npi":"1346248903","type":"NPI-1","status":"active","name":{"display":"Corey Henderson MD","other":[],"first":"COREY","last":"HENDERSON","middle":"H","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"FL","license":"ME85553"},{"code":"207RI0200X","description":"Infectious Disease","primary":false,"state":"FL","license":"ME85553"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 WATERMAN WAY","city":"TAVARES","state":"FL","postal_code":"32778","country_code":"US","phone":"4078868164","fax":"4074750280"},{"purpose":"MAILING","street_1":"PO BOX 1409","city":"EUSTIS","state":"FL","postal_code":"327271409","country_code":"US","phone":"3527427735","fax":"3527422289"}],"license":{"state":"FL","number":"ME85553"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"265554300","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120113000416","type_code":"14-44","type_desc":"PRACTITIONER - INFECTIOUS DISEASE","state":"FL","pac_id":"5597738377"}]},"enumeration_date":"2005-07-08","last_updated":"2022-05-27","_meta":{"source":"NPPES","snapshot_date":"2022-05-27","doc_url":"https://findmynpi.com/api"}}