Benjamin Wellness Center Of Hollywood

LBN: Benjamin Outreach Medical Network Corporation
Benjamin Wellness Center Of Hollywood is an health care organization with primary practice located at 3939 Hollywood Blvd Ste 1B , Hollywood FL 33021-6749. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Benjamin Outreach Medical Network Corporation can be contacted via phone (954) 251-0267, or through Benjamin, Vaunrance J via phone (718) 312-2529.

Contact Information

Primary practice address
3939 Hollywood Blvd Ste 1B Hollywood FL 33021-6749
Fax: (754) 212-0473
Website:
Authorized official contact:
Name: Benjamin, Vaunrance J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1518248418
LBN Legal business name Benjamin Outreach Medical Network Corporation
DBA Doing business as Benjamin Wellness Center Of Hollywood
Authorized official Benjamin, Vaunrance J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2011
Last updated Aug 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518248418 NPPES
Florida MEDICAID 279510800

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