Individual
DR. BENJAMIN LYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 695-9145
(904) 695-2465
Mailing address
PO BOX 19189, JACKSONVILLE, FL 32245-9189
(904) 743-1883
(904) 743-5109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME36271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065385300
—
FL
01
—
15600
BLUECROSSBLUESHIELDFL
FL
01
—
320538
UNITEDBEHAVIORALHEALTH
FL
Enumeration date
11/02/2006
Last updated
05/29/2009
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