Individual
DR. GREGORY BENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 HICKORY STREET, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
PO BOX 2400, MELBOURNE, FL 32902-2400
(877) 448-8675
(772) 621-3184
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME119925
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2008
Last updated
06/27/2014
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