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Individual

KEITH M BENBENISTY

Active
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Individual

KEITH M BENBENISTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME92553
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03456
BC BS OF FLA
FL
01
3795279
AETNA
FL
01
6555071
CIGNA
FL
01
P00237559
RR MEDICARE
FL
Enumeration date
04/07/2006
Last updated
07/13/2026
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