Brian Wayne Benson in Melbourne - Surgical

Brian Wayne Benson - NPI 1760523393

Brian Wayne Benson is a Surgical in Melbourne, Florida. Brian Wayne Benson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Brian Wayne Benson is 1760523393. The last update date is 2014-11-20.

Brian Wayne Benson's current location address is 707 W Eau Gallie Blvd, Melbourne, Florida. You can contact this provider via phone number 3217273223 and fax number 3217279448. The mailing address for Brian Wayne Benson is 707 W Eau Gallie Blvd, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Wayne Benson
Address 707 W Eau Gallie Blvd, Melbourne, Florida
Phone Number 3217273223
Fax Number 3217279448
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1760523393
Provider Enumeration Date 2007-02-08
Last Updated Date 2014-11-20

Provider Mailing Address Detail

Address 707 W Eau Gallie Blvd
City Melbourne
State Florida (FL)
Post Code 329355958
Phone Number 3217273223
Fax Number 3217279448

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA9102139
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DC0018 FL RAILROAD MEDICARE

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FAQs about Brian Wayne Benson

What is the Brian Wayne Benson's unique identification number?

The Brian Wayne Benson has been assigned the NPI (National Provider Identifier) Number 1760523393 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Brian Wayne Benson's facilities are geographically located?

The facilities of Brian Wayne Benson are physically situated at the following location: 707 W Eau Gallie Blvd, Melbourne, FL, 329355958.

What is Brian Wayne Benson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brian Wayne Benson's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.

On what date did the Brian Wayne Benson receive the assignment of its 1760523393 from the Centers for Medicare & Medicaid Services?

The Brian Wayne Benson was issued its 1760523393 by the Centers for Medicare & Medicaid Services on 2007-02-08.

As of what date was the information pertaining to Brian Wayne Benson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Brian Wayne Benson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-11-20.

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