Individual
BENJAMIN R HASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 W 23RD ST, PANAMA CITY, FL 32405-2349
(850) 784-3936
(850) 784-3539
Mailing address
2500 W 23RD ST, PANAMA CITY, FL 32405-2349
(850) 784-3936
(850) 784-3539
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME59972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053818300
—
FL
01
—
12408
BC/BS FL
FL
Enumeration date
06/03/2006
Last updated
09/13/2023
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