Organization
OCHSNER MISSISSIPPI, LLC
Active
Parent organization
OCHSNER MISSISSIPPI, LLC
Other names
Ochsner Health Center - Gulfport
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCHSNER MISSISSIPPI, LLC
Authorized official
EDUARDO BENITEZ (DIRECTOR)
(504) 430-0025
Entity
Organization
Contact information
Practice address
15190 COMMUNITY RD, GULFPORT, MS 39503-3485
(228) 539-7044
(228) 539-4420
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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