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Individual

BEN-JIANG MA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MHS, PHD

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 609-0095
(407) 609-0096
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106855
FL
363AS0400X
Surgical Physician Assistant
PA9106855
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007329500
FL
Enumeration date
10/04/2012
Last updated
08/08/2024
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