BENJAMIN DEVRIES DO LLC NPI 1558916494

NPI Information

NPI: 1558916494
Provider Name: BENJAMIN DEVRIES DO LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1573 S FORT HARRISON AVE
CLEARWATER, FL
ZIP 33756
Phone: (727) 584-8777
Get Directions

BENJAMIN DEVRIES DO LLC is a family medicine in Clearwater, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BENJAMIN DEVRIES DO LLC NPI is 1558916494. The provider is registered as an organization entity type.

The provider's business location address is:

1573 S FORT HARRISON AVE
CLEARWATER, FL
ZIP 33756-004
Phone: (727) 584-8777

The provider's authorized official is Benjamin Devries .
The authorized official title is Owner and has the following contact phone number (319) 239-6395.

The enumeration date for this NPI number is 8/7/2019 and was last updated on 8/11/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	72062	OTHER		BLUE CROSS BLUE SHIELD
2	103871800	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »