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Individual

MR. BENJAMIN J BRODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HAS, BC-HIS

Contact information

Practice address
2981 N NOB HILL RD APT 207, 207, SUNRISE, FL 33322-5889
(954) 908-5208
Mailing address
2981 N NOB HILL RD APT 207, 207, SUNRISE, FL 33322-5889
(954) 908-5208

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS3492
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6373
NATIONAL BOARD FOR CERTIFICATION IN HEARING INSTRUMENT SCIENCES
FL
01
AS3492
FLORIDA DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
08/27/2012
Last updated
09/18/2016
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