Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301094026 | MI |
Y | 208D00000X | General Practice Physician | ME118921 | FL |
NPI | 1043441751 |
---|---|
Provider Name | Ader Benoit |
First Address | Miramar, FL 33025-7623 |
Second Address | Hollywood, FL 33021-6557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2009 |
Last Update Date | 11/08/2014 |