Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS10817 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | OS10817 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | OS10817 | FL |
NPI | 1043376890 |
---|---|
Provider Name | Benjamin Charles Epstein |
First Address | Okeechobee, FL 34972-1922 |
Second Address | Okeechobee, FL 34972-1922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 10/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001728600 | (05) | FL |
52280000 | (05) | NJ |
F37317 | (02) | FL |
F37317 | (02) | NJ |