Benjamin S Mckendall
Ophthalmologist
2435 S Volusia Ave Suite D-1
Orange City
, Florida 32763-7643
Benjamin S Mckendall
Ophthalmologist
2435 S Volusia Ave Suite D-1
Orange City
, Florida 32763-7643
(386) 775-7733
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Benjamin S Mckendall
- 2435 S Volusia Ave Suite D-1
- Orange City, FL
- Zip : 32763-7643
- Phone : (386) 775-7733
Second Address
- Benjamin S Mckendall
- 2435 S Volusia Ave Suite D-1
- Orange City, FL
- Zip : 32763-7643
- Phone : (386) 775-7733
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | ME0027026 | FL |
National Provider Identifier
| NPI | 1023164399 |
|---|---|
| Provider Name | Benjamin S Mckendall |
| First Address | Orange City, FL 32763-7643 |
| Second Address | Orange City, FL 32763-7643 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2007 |
| Last Update Date | 10/12/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 058145300 | (05) | FL |
| D65207 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.