Individual
DR. KEVIN ROSS BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7707 N UNIVERSITY DR, SUITE 106, TAMARAC, FL 33321-2950
(954) 722-4206
(954) 722-4226
Mailing address
7707 N UNIVERSITY DR, SUITE 106, TAMARAC, FL 33321-2950
(954) 722-4206
(954) 722-4226
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME66657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25655V
MEDICARE PTAN
FL
05
—
375775700
—
FL
Enumeration date
08/13/2006
Last updated
05/16/2014
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