EXCLUDEDPROVIDER
Individual Revocation

Justin Portfo Henderson

Bonita Springs, FL 34135

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Justin Portfo Henderson of Bonita Springs, FL is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 18, 2007.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Bonita Springs, FL 34135
Exclusion date
January 18, 2007
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Justin Portfo Henderson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Bonita Springs, Florida. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is January 18, 2007, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJanuary 18, 2007
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Bonita Springs, FL 34135. The listed provider category is Nursing Profession. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Bonita Springs, FL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Bonita Springs, FL address.

Jose Guadalupe Barroso Individual Revocation
Bonita Springs, FL · License revocation, suspension, or surrender · Excluded Mar 2026
Tiffany Renee Mckinley Individual Revocation
Bonita Springs, FL · License revocation, suspension, or surrender · Excluded Jul 2025
Stephen J Kaskie Individual Revocation
Bonita Springs, FL · License revocation, suspension, or surrender · Excluded Nov 2013
Logan S Fisher Individual Revocation
Bonita Springs, FL · License revocation, suspension, or surrender · Excluded Dec 2009
Charlene A Harrison Individual Revocation
Bonita Springs, FL · License revocation, suspension, or surrender · Excluded Jan 2006
Janine Rita Desharnais Individual Revocation
Bonita Springs, FL · License revocation, suspension, or surrender · Excluded Apr 2004
Diana A Culver Individual Program Crime
Bonita Springs, FL · Conviction of program-related crimes · Excluded Oct 1999
Parviz Taefi Individual Revocation
Bonita Springs, FL · License revocation, suspension, or surrender · Excluded Dec 1997

See all 10 excluded providers in Bonita Springs →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More Excluded Individuals in Florida More Records in Bonita Springs More Revocation Records