Individual
DR. BENJAMIN LOUIS KONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4262 WOODBINE RD, PACE, FL 32571-8703
(850) 494-4600
Mailing address
4262 WOODBINE RD, PACE, FL 32571-8703
(850) 494-4600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A4871
STATE LIC. # DR. KONELL
CA
Enumeration date
10/12/2006
Last updated
03/07/2023
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