Individual
DR. BENJAMIN M PIPERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD, SUITE 2571, JACKSONVILLE, FL 32258-7418
(904) 886-2251
(904) 886-7151
Mailing address
11945 SAN JOSE BLVD, STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME92324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03438
BCBS FL
—
05
—
274942400
—
FL
01
—
296765
AVMED
—
01
—
3200862
CIGNA
—
01
—
7340021
AETNA
—
01
—
P00246913
RAILROAD MEDICARE
FL
Enumeration date
04/28/2006
Last updated
06/23/2020
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