Individual
BENJAMIN C SERVICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 423-7777
(407) 423-1380
Mailing address
7243 DELLA DR, STE B, ORLANDO, FL 32819-5106
(321) 842-0060
(321) 842-0084
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60545556
WA
207X00000X
Orthopaedic Surgery Physician
Primary
ME 124973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017843500
—
FL
05
—
1073833497
—
WA
01
—
ME124973
MEDICAL LICENSE
FL
Enumeration date
06/08/2010
Last updated
03/19/2020
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