Organization
OCHSNER MISSISSIPPI, LLC
Active
Parent organization
OCHSNER MISSISSIPPI, LLC
Other names
Ochsner Health Center - East Pass Rd
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCHSNER MISSISSIPPI, LLC
Authorized official
EDUARDO BENITEZ (DIRECTOR)
(504) 430-0025
Entity
Organization
Contact information
Practice address
1924 E PASS RD, GULFPORT, MS 39507-3715
(228) 388-4862
(228) 388-2556
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09627255
—
MS
Enumeration date
12/17/2020
Last updated
12/17/2020
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