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Organization

BEHAVIORAL HEALTH CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD K BENFIELD (CFO)
(352) 253-3739
Entity
Organization

Contact information

Practice address
3240 WATERMAN WAY, TAVARES, FL 32778-5243
(352) 253-3739
(352) 253-3735
Mailing address
PO BOX 1188, TAVARES, FL 32778-1188
(352) 253-3739
(352) 253-3735

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
77296
BLUE CROSS GROUP NUMBER
FL
01
DE3694
RAILROAD MEDICARE
FL
Enumeration date
01/25/2007
Last updated
08/22/2020
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