Organization
AMPUTEE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVRAHAM R BENHAIM (OWNER)
(239) 437-4010
Entity
Organization
Contact information
Practice address
44 BARKLEY CIR, FORT MYERS, FL 33907-7530
(239) 437-4010
(239) 437-4097
Mailing address
44 BARKLEY CIR, FORT MYERS, FL 33907-7530
(239) 437-4010
(239) 437-4097
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000914064A
—
GA
01
—
004016999
BC/BS OF TN
TN
05
—
009939684
—
AL
05
—
1295730216
—
VA
01
—
13125
PHP, CARITEN, PHP TENNCAR
TN
05
—
1454256
—
TN
01
—
204925600
TVA
TN
01
—
4016999
BC/BS TN
TN
01
—
52895744 001
GEORGIA HEALTH PARTNERSHI
GA
01
—
8150
NORTHWOOD
MI
01
—
81750
NORTHWOOD (BC/BS MI DME)
MI
Enumeration date
06/16/2005
Last updated
12/11/2025
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