Individual
BENSON PROSPERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 JACKSON ST APT 10, HOLLYWOOD, FL 33020-5005
(954) 937-6837
Mailing address
1930 JACKSON ST APT 10, HOLLYWOOD, FL 33020-5005
(954) 937-6837
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P621069930480
FL
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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