Fan, Bensen Benjamin

Fan, Bensen Benjamin is an individual health care provider with primary practice located at 1222 S Orange Ave Fl 5 , Orlando FL 32806-1215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Fan, Bensen Benjamin can be contacted via phone (844) 362-1735.

Contact Information

Primary practice address
1222 S Orange Ave Fl 5 Orlando FL 32806-1215
Phone: (844) 362-1735
Fax: (321) 841-3040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME152894 Florida
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X ME152894 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A154107 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 25MA10638900 New Jersey

Profile Details

NPI number 1023350113
LBN Legal business name Fan, Bensen Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Feb 29th, 2024 - about 2 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 1023350113 NPPES
Florida MEDICAID 112713000

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