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Individual

BENJAMIN PEOPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1116 NIKKI VIEW DR, BRANDON, FL 33511
(321) 274-5361
Mailing address
1116 NIKKI VIEW DR, BRANDON, FL 33511-4868
(321) 274-5361

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P142-078-92-204-0
DEPARTMENT OF MOTOR VEHICLES
FL
Enumeration date
09/14/2018
Last updated
09/14/2018
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