Doctor Name: | DELANO BENJAMIN |
NPI Number: | 1184800948 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD.24889 |
Business Practice Address: | 3800 Fountain Fountain Correctional Facility, Correctional Med. Serv. Atmore, AL - 365039406 |
Business Phone Number: | 2513686467 |
Business Fax Number: | |
Mailing Address: | 9009 University Pkwy Apt 40, PENSACOLA |
State: | FL |
Postal Code: | 325149432 |
Phone Number: | 3344771759 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2008 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | MD.24889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |