Individual
MS. KELLANGE J BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 S ANDREWS AVE, BROWARD GENERAL MEDICAL CENTER, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
Mailing address
3601 W COMMERCIAL BLVD, ANESCO NORTH BROWARD LLC STE 4-5, FORT LAUDERDALE, FL 33309-3300
(954) 485-5666
(954) 485-1651
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3110862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307120100
—
FL
Enumeration date
02/28/2006
Last updated
05/03/2017
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