Individual
DR. BENSEN BENJAMIN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 S ORANGE AVE FL 5, ORLANDO, FL 32806-1215
(844) 362-1735
(321) 841-3040
Mailing address
1222 S ORANGE AVE FL 5, ORLANDO, FL 32806-1215
(844) 362-1735
(321) 841-3040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA10638900
NJ
207X00000X
Orthopaedic Surgery Physician
A154107
CA
207X00000X
Orthopaedic Surgery Physician
ME152894
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME152894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112713000
—
FL
Enumeration date
03/26/2013
Last updated
02/29/2024
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