Individual
BENJAMIN BARCKLEY STOREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME115025
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009559200
—
FL
01
—
1193474
WELLCARE
FL
01
—
14R8Z
BCBS OF FL
FL
01
—
367681
AVMED
FL
01
—
9563127
CIGNA
FL
01
—
9760983
AETNA
FL
01
—
P01213517
RR MEDICARE
FL
01
—
P01807771
CLEAR HEALTH ALLIANCE
FL
01
—
P1010667
FREEDOM HEALTH
FL
Enumeration date
03/22/2007
Last updated
09/01/2020
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