Organization
IAN S BENISON D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN S BENISON D.C. (OWNER/PRESIDENT)
(561) 731-4457
Entity
Organization
Contact information
Practice address
9851 S MILITARY TRL, SUITE C, BOYNTON BEACH, FL 33436-3237
(561) 731-4457
(561) 732-5020
Mailing address
9851 S MILITARY TRL, SUITE C, BOYNTON BEACH, FL 33436-3237
(561) 731-4457
(561) 732-5020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0177
MEDICARE ID-TYPE UNSPECIFIED
FL
Enumeration date
11/16/2010
Last updated
11/16/2010
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