Individual
DR. LATANYA TAMARA BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5200 S UNIVERSITY DR STE 102, DAVIE, FL 33328-5316
(954) 242-4275
(954) 530-5562
Mailing address
11076 MERIDIAN DR N, PARKLAND, FL 33076-4592
(954) 821-1331
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A110104
CA
207N00000X
Dermatology Physician
ME88650
FL
207NP0225X
Pediatric Dermatology Physician
Primary
ME88650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014388600
—
FL
Enumeration date
05/23/2007
Last updated
03/10/2020
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