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Individual

BENJAMIN S MCKENDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2435 S VOLUSIA AVE, SUITE D-1, ORANGE CITY, FL 32763-7643
(386) 775-7733
Mailing address
2435 S VOLUSIA AVE, SUITE D-1, ORANGE CITY, FL 32763-7643
(386) 775-7733

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0027026
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
058145300
FL
Enumeration date
01/26/2007
Last updated
12/10/2008
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