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NPI Code Detail

MEDICARE: DR. BENJAMIN JOSEPH HENNER M.D.

MEDICARE: DR. BENJAMIN JOSEPH HENNER 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
1207L00000XAnesthesiology Physician25MA07210100NJ
2207L00000XAnesthesiology Physician4301512785MI
3207L00000XAnesthesiology PhysicianME133117FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477880615
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN JOSEPH HENNER M.D.
Provider Business Mailing Address
First Line : 7700 W SUNRISE BLVD
Second Line :
City : PLANTATION
State : FL
Zip : 33322-4113
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2801 N STATE ROAD 7
Second Line :
City : MARGATE
State : FL
Zip : 33063-5727
Country : US
Telephone Number : 954-974-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2009
Last Update Date : 01/06/2026

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