Individual
BENJAMIN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4710 S FLORIDA AVE, LAKELAND, FL 33813-2190
(863) 284-6800
(863) 284-6824
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME71949
FL
Other
Enumeration date
06/21/2005
Last updated
07/21/2022
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