Individual
ERIK J BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1033 DR MARTIN LUTHER KING JR ST N, STE. 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, STE. 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 98831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02170
BCBS
FL
05
—
279205200
—
FL
01
—
9325062
AETNA
FL
01
—
AE726Z
GTBA MEDICARE REASSIGN
FL
Enumeration date
06/20/2007
Last updated
02/09/2010
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