Individual
BENITA CHILAMPATH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2510
(954) 355-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
UO4857
FL
Other
Enumeration date
01/15/2017
Last updated
01/12/2021
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