Benson, Andre William

Benson, Andre William is an individual health care provider with primary practice located at 7720 Washington St Suite 103, Port Richey FL 34668-6553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Benson, Andre William can be contacted via phone (813) 278-0020.

Contact Information

Primary practice address
7720 Washington St Suite 103 Port Richey FL 34668-6553
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X ME23061 Florida

Profile Details

NPI number 1730306200
LBN Legal business name Benson, Andre William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Mar 29th, 2016 - about 8 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 1730306200 NPPES
Florida MEDICAID 376961501

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