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Individual

EBONY MONIQUE BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9217092
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
0024187014
VA
367500000X
Certified Registered Nurse Anesthetist
ARNP9217092
FL
367500000X
Certified Registered Nurse Anesthetist
GAA-CRNA001098
GA

Other

Enumeration date
02/19/2009
Last updated
01/16/2026
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