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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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