Shore, Benjamin Mark

Shore, Benjamin Mark is an sole proprietor health care provider with primary practice located at 2532 Regatta Ave Sunset Island 2, Miami Beach FL 33140-4235. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Shore, Benjamin Mark can be contacted via phone (305) 532-2532.

Contact Information

Primary practice address
2532 Regatta Ave Sunset Island 2 Miami Beach FL 33140-4235
Phone: (305) 532-2532
Fax: (305) 532-9330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS-0003915 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS-0003915 Florida

Profile Details

NPI number 1619142957
LBN Legal business name Shore, Benjamin Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 16 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 1619142957 NPPES
Florida MEDICAID 06625429900

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