Benjamin Wellness Center Of Hollywood | |
3939 Hollywood Blvd Ste 1b Hollywood FL 33021-6749 | |
(954) 251-0267 | |
(754) 212-0473 |
Full Name | Benjamin Wellness Center Of Hollywood |
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Speciality | Clinic/Center |
Location | 3939 Hollywood Blvd Ste 1b, Hollywood, Florida |
Authorized Official Name and Position | Vaunrance J Benjamin (OWNER) |
Authorized Official Contact | 7183122529 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Benjamin Wellness Center Of Hollywood 2843 Pembroke Rd Hollywood FL 33020-5649 Ph: (954) 251-0267 | Benjamin Wellness Center Of Hollywood 3939 Hollywood Blvd Ste 1b Hollywood FL 33021-6749 Ph: (954) 251-0267 |
NPI Number | 1518248418 |
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Provider Enumeration Date | 09/06/2011 |
Last Update Date | 08/01/2023 |
Medicare PECOS PAC ID | 9537331772 |
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Medicare Enrollment ID | O20111011000541 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518248418 | NPI | - | NPPES |
279510800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Vaunrance Benjamin |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1831178706 PECOS PAC ID: 2860429289 Enrollment ID: I20071126000246 |
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