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Organization
THE BENJAMIN WELLNESS CENTER SOUTH
Active
Organization
THE BENJAMIN WELLNESS CENTER SOUTH
Active
Parent organization
BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION
Other names
BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION
Authorized official
ILNISE MATHIEU (DIRECTOR OF OPERATION)
(954) 251-0267
Entity
Organization
Contact information
Practice address
10300 SUNSET DR, STE #280, MIAMI, FL 33173-3012
(305) 901-2209
(305) 901-2189
Mailing address
10300 SUNSET DR, STE #280, MIAMI, FL 33173-3012
(305) 901-2209
(305) 901-2189
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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