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Individual

BENJAMIN BOYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9612 SW 148TH AVE, MIAMI, FL 33196
(435) 813-2097
Mailing address
9612 SW 148TH AVE, MIAMI, FL 33196-1619

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
308731
LA
2085R0202X
Diagnostic Radiology Physician
Primary
UO3496
FL

Other

Enumeration date
12/19/2013
Last updated
05/15/2018
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