Individual
PAUL ANSON BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1854 PORTCASTLE CIR, WINTER GARDEN, FL 34787-4747
(786) 877-0503
Mailing address
1854 PORTCASTLE CIR, WINTER GARDEN, FL 34787-4747
(786) 877-0503
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11021024
FL
Other
Enumeration date
08/01/2022
Last updated
10/13/2022
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