Benjamin, Kellange J

Benjamin, Kellange J is an individual health care provider with primary practice located at 1600 S Andrews Ave Broward General Medical Center, Fort Lauderdale FL 33316-2510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Benjamin, Kellange J can be contacted via phone (954) 355-4400.

Contact Information

Primary practice address
1600 S Andrews Ave Broward General Medical Center Fort Lauderdale FL 33316-2510
Phone: (954) 355-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3110862 Florida

Profile Details

NPI number 1265408306
LBN Legal business name Benjamin, Kellange J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated May 3rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265408306 NPPES
Florida MEDICAID 307120100

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