Individual
DR. BENALFEW TESFAYE LEGESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(190) 470-2635
Mailing address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(190) 470-2635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
238710
MA
2084P0800X
Psychiatry Physician
238710
MA
2084P0800X
Psychiatry Physician
Primary
ME157729
FL
Other
Enumeration date
04/13/2007
Last updated
09/01/2022
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