Individual
DR. GERALD MAURICE BENOIT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6002 BERRYHILL RD, SANTA ROSA MEDICAL CENTER, MILTON, FL 32570-5062
(850) 529-6601
Mailing address
6002 BERRYHILL RD, SANTA ROSA MEDICAL CENTER, MILTON, FL 32570-5062
(850) 529-6601
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME97188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276764300
—
FL
01
—
AC769Z
FLORIDA MEDICARE
FL
Enumeration date
06/17/2006
Last updated
04/22/2009
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