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Individual

CHANELLE KHESHIA BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 SW ARCHER ROAD, GAINESVILLE, FL 32610-3001
(352) 273-9400
Mailing address
PO BOX 100214, GAINESVILLE, FL 32610-0214
(352) 273-9400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
77019-20
WI
207R00000X
Internal Medicine Physician
ME174478
FL
207RG0100X
Gastroenterology Physician
Primary
ME174478
FL

Other

Enumeration date
03/22/2019
Last updated
06/25/2025
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