Organization
ESSENTIAL PROTECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD BENEZRA M.D. (PRESIDENT)
(954) 454-9055
Entity
Organization
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD, SUITE 307, HALLANDALE BEACH, FL 33009-3765
(954) 454-9055
Mailing address
2100 E HALLANDALE BEACH BLVD, SUITE 307, HALLANDALE BEACH, FL 33009-3765
(954) 454-9055
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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