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NPI Code Detail

MEDICARE: BENJAMIN HUANG M.D.

MEDICARE: BENJAMIN HUANG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101255907VA
2207RN0300XNephrology Physician0101255907VA
3207RN0300XNephrology PhysicianME140231FL

General Provider Information

NPI Number : 1508122516
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN HUANG M.D.
Provider Business Mailing Address
First Line : 307 BOATNER RD STE 114
Second Line :
City : EGLIN AFB
State : FL
Zip : 32542-1302
Country : US
Telephone Number : 850-883-8600
Fax Number :
Provider Business Practice Location Address
First Line : 319 GREEN ACRES RD STE 103
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-1170
Country : US
Telephone Number : 850-862-2385
Fax Number : 850-862-0482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2012
Last Update Date : 08/18/2024

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Directions to “ BENJAMIN HUANG M.D.” Practice Location

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