Individual
BENJAMIN THOMAS IHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4669
(941) 798-6513
Mailing address
2020 59TH ST W, BRADENTON, FL 34209-4669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS19496
FL
Other
Enumeration date
04/07/2020
Last updated
02/05/2024
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