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Individual

DR. ROBERT JOSEPH BENKENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
993 FOSTORIA DR, MELBOURNE, FL 32940-1513
(321) 757-3096
Mailing address
993 FOSTORIA DR, MELBOURNE, FL 32940-1513
(321) 757-3096

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0078453
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258599500
FL
01
35427
BCBS
FL
01
ME78453
STATE MEDICAL LICENSE
FL
Enumeration date
11/17/2006
Last updated
07/15/2008
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