Pro Spine

LBN: Johnny C. Benjamin Jr. M.D., Pa
Pro Spine is an health care organization with primary practice located at 1355 37Th St Suite 301, Vero Beach FL 32960-7320. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is the primary health care specialty. Johnny C. Benjamin Jr. M.D., Pa can be contacted via phone (772) 978-7808, or through Mullikin, Amanda P via phone (772) 978-7808.

Contact Information

Primary practice address
1355 37Th St Suite 301 Vero Beach FL 32960-7320
Phone: (772) 978-7808
Fax: (772) 978-9320
Website:
Map and Directions
Authorized official contact:
Name: Mullikin, Amanda P
Phone: (772) 978-7808

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1760412977
LBN Legal business name Johnny C. Benjamin Jr. M.D., Pa
DBA Doing business as Pro Spine
Authorized official Mullikin, Amanda P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Jan 6th, 2016 - about 8 years ago

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 1760412977 NPPES
Florida Other 45410 BLUE CROSS BLUE SHIELD FL

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