Individual
DR. ANDRE WILLIAM BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7720 WASHINGTON ST, SUITE 103, PORT RICHEY, FL 34668-6553
(813) 278-0020
Mailing address
9408 APPLE VALLEY DR, WEEKI WACHEE, FL 34613-3418
(813) 310-8544
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME23061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376961501
—
FL
Enumeration date
04/19/2007
Last updated
03/29/2016
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