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NPI Code Detail

MEDICARE: DR. BENJAMIN C BALAREZO DC

MEDICARE:  DR. BENJAMIN C BALAREZO  DC
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
1111N00000XChiropractorCH9439FL

General Provider Information

NPI Number : 1912913443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN C BALAREZO DC
Provider Business Mailing Address
First Line : 1801 NE 164TH ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4109
Country : US
Telephone Number : 305-454-9610
Fax Number : 305-705-3524
Provider Business Practice Location Address
First Line : 1801 NE 164TH ST
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4109
Country : US
Telephone Number : 305-454-9610
Fax Number : 305-705-3524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 04/02/2013

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Directions to “ DR. BENJAMIN C BALAREZO DC” Practice Location

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