Needham, Laila Benzakour

Needham, Laila Benzakour is an individual health care provider with primary practice located at 300 Health Park Blvd Suite 3002, St Augustine FL 32086-3707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Needham, Laila Benzakour can be contacted via phone (904) 819-1500.

Contact Information

Primary practice address
300 Health Park Blvd Suite 3002 St Augustine FL 32086-3707
Fax: (904) 810-1023
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME104699 Florida

Profile Details

NPI number 1528241700
LBN Legal business name Needham, Laila Benzakour
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Mar 17th, 2015 - about 11 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 1528241700 NPPES
Florida MEDICAID 000947900

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