Individual
DR. LAJA'VIA KRENELE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4600 W COMMERCIAL BLVD STE 5, TAMARAC, FL 33319-3307
(954) 541-5141
Mailing address
545 NE 66TH ST, MIAMI, FL 33138-5618
(404) 932-1324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH9150
FL
111NS0005X
Sports Physician Chiropractor
Primary
CH9150
FL
Other
Enumeration date
02/11/2008
Last updated
04/27/2015
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