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MRS. JUDY BENJAMIN PROVIDER

>> Case Management >> Agencies

Registrant NPI Number: 1659450351

Individual Registrant:
MRS. JUDY  BENJAMIN PROVIDER
Gender: F
Sole Proprietor

Location and contact information for practice:
4410 N. W. 43 COURT  LAUDERDALE LAKES, FL 33319-4726 US
Tel: 954-677-0370  Fax: 954-535-9678

Contact information for business:
4410 N. W. 43 COURT  LAUDERDALE LAKES, FL 33319-4726 US
Tel: 954-677-0370  Fax: 954-535-9678

Registration Information:
NPI: 1659450351
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251B00000XAgencies
Case Management
FLF043829856001

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
8944229786FL01




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