Benton, Thomas Bb

Benton, Thomas Bb is an sole proprietor health care provider with primary practice located at 5612 Nw 43Rd St , Gainesville FL 32653-3332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Benton, Thomas Bb can be contacted via phone (352) 376-4542.

Contact Information

Primary practice address
5612 Nw 43Rd St Gainesville FL 32653-3332
Phone: (352) 376-4542
Fax: (352) 376-4959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME53353 Florida

Profile Details

NPI number 1891766580
LBN Legal business name Benton, Thomas Bb
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Sep 8th, 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 1891766580 NPPES
Florida Other OB157 MEDICARE HF
Florida MEDICAID 048463600 MEDICARE HF

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