Benjamin, Mark D.

Benjamin, Mark D. is an individual health care provider with primary practice located at 1106 Druid Rd S Suite 302, Clearwater FL 33756-3846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Benjamin, Mark D. can be contacted via phone (727) 441-3711.

Contact Information

Primary practice address
1106 Druid Rd S Suite 302 Clearwater FL 33756-3846
Phone: (727) 441-3711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME46843 Florida

Profile Details

NPI number 1902896780
LBN Legal business name Benjamin, Mark D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 24th, 2009 - about 15 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 1902896780 NPPES
Florida MEDICAID 048344300
Florida Other 300013292
Florida Other 07281

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