Individual
SUZANNE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 W COLONIAL DR, OCOEE, FL 34761-3498
(407) 296-1000
Mailing address
PO BOX 917156, ORLANDO, FL 32891-7156
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0074150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254539000
—
FL
01
—
42943
BCBS
FL
Enumeration date
03/09/2006
Last updated
10/15/2009
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