Benezette, Alyn L

Benezette, Alyn L is an individual health care provider with primary practice located at 725 W Granada Blvd Suite 22, Ormond Beach FL 32174-9406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Benezette, Alyn L can be contacted via phone (386) 788-2300.

Contact Information

Primary practice address
725 W Granada Blvd Suite 22 Ormond Beach FL 32174-9406
Phone: (386) 788-2300
Fax: (386) 944-6622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X OS5774 Florida

Profile Details

NPI number 1508863572
LBN Legal business name Benezette, Alyn L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jun 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508863572 NPPES
Florida MEDICAID 117752200

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