Benson, Matthew Paul

Benson, Matthew Paul is an sole proprietor health care provider with primary practice located at 601 5Th St S Suite 306, St Petersburg FL 33701-4804. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Hospitals / Rehabilitation Hospital. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Benson, Matthew Paul can be contacted via phone (727) 767-4170.

Contact Information

Primary practice address
601 5Th St S Suite 306 St Petersburg FL 33701-4804
Phone: (727) 767-4170
Fax: (727) 767-4346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Florida
Hospitals / Rehabilitation Hospital 283X00000X AL1745 Florida

Profile Details

NPI number 1558412825
LBN Legal business name Benson, Matthew Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Oct 29th, 2021 - about 5 years ago

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 1558412825 NPPES
Florida MEDICAID 008016900

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