Individual
DR. ANDRE WILLIAM BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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