# OCHSNER MISSISSIPPI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OCHSNER MISSISSIPPI, LLC
- **Other names:** Ochsner Pediatric Cardiology - Ocean Springs
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174294102
- **Legal business name:** OCHSNER MISSISSIPPI, LLC
- **Authorized official:** EDUARDO BENITEZ (DIRECTOR)
- **Authorized official phone:** (504) 430-0025

## Contact information

- **Practice address:** 11 DOCTORS DR, OCEAN SPRINGS, MS 39564-5709
- **Practice address phone:** (228) 215-2036
- **Practice address fax:** (228) 215-2034
- **Mailing address:** 1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2080P0202X | Pediatric Cardiology Physician | — | NULL | — |
| 2080P0202X | Pediatric Cardiology Physician | — | — | — |

## Other

- **Enumeration date:** 09/21/2021
- **Last updated:** 09/07/2022