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Organization
MEDICAL SPECIALTY PROCEDURES, LC
Active
Organization
MEDICAL SPECIALTY PROCEDURES, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY C BENJAMIN MD (MEDICAL DIRECTOR)
(772) 794-4236
Entity
Organization
Contact information
Practice address
1355 37TH ST, SUITE 304, VERO BEACH, FL 32960-7321
(772) 794-4236
Mailing address
1355 37TH ST, SUITE 304, VERO BEACH, FL 32960-7321
(772) 794-4236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1137
FL
Other
Enumeration date
03/27/2007
Last updated
05/01/2008
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