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Individual

YAEL EMILIE BENSOUSSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A169356
CA
207Y00000X
Otolaryngology Physician
Primary
ME150241
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111057600
FL
01
QBLSW
BCBS
FL
Enumeration date
07/24/2020
Last updated
04/09/2025
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