Individual
DR. KENNETH L BENGTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8150 CHANCELLOR DR, SUITE 110, ORLANDO, FL 32809-7691
(407) 587-4243
(407) 251-5053
Mailing address
7111 FAIRWAY DR, SUITE 400, PALM BEACH GARDENS, FL 33418-4204
(561) 712-6265
(561) 712-7349
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
ME72874
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0072874
FL
Other
Enumeration date
12/13/2005
Last updated
10/18/2007
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