Individual
JONATHAN T BENESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMS
Contact information
Practice address
1937 NW 80TH LN, MARGATE, FL 33063-6804
(954) 857-7962
Mailing address
1937 NW 80TH LN, MARGATE, FL 33063-6804
(954) 857-7962
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
EMT570814
FL
207P00000X
Emergency Medicine Physician
Primary
EMT570814
FL
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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