Benjamin, Vaunrance J

Benjamin, Vaunrance J is an individual health care provider with primary practice located at 3939 Hollywood Blvd Suite 1B, Hollywood FL 33021-3302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Benjamin, Vaunrance J can be contacted via phone (954) 828-0171.

Contact Information

Primary practice address
3939 Hollywood Blvd Suite 1B Hollywood FL 33021-3302
Phone: (954) 828-0171
Fax: (754) 212-0473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME95524 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 043459 Connecticut
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME95524 Florida

Profile Details

NPI number 1831178706
LBN Legal business name Benjamin, Vaunrance J
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Dec 30th, 2022 - about 3 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 1831178706 NPPES
Florida MEDICAID 279510800
Florida MEDICAID 004236007
Florida Other AJ775Y

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