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THE BENJAMIN WELLNESS CENTER SOUTH NPI 1790155455


NPI Information

NPI: 1790155455
Provider Name: THE BENJAMIN WELLNESS CENTER SOUTH

Doing Business As: BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
10300 SUNSET DR
STE #280
MIAMI, FL
ZIP 33173
Phone: (305) 901-2209
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THE BENJAMIN WELLNESS CENTER SOUTH is a specialist in Miami, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THE BENJAMIN WELLNESS CENTER SOUTH NPI is 1790155455. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Benjamin Outreach Medical Network Corporation.

The provider's business location address is:

10300 SUNSET DR
STE #280
MIAMI, FL
ZIP 33173-012
Phone: (305) 901-2209
Fax: (305) 901-2189

The provider's authorized official is Ilnise Mathieu .
The authorized official title is Director Of Operation and has the following contact phone number (954) 251-0267.

The enumeration date for this NPI number is 10/6/2015 and was last updated on 10/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.