Johnny C. Benjamin Jr. M.D., PA
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Vero Beach, FL. Organization (NPI-2).
NPI number1760412977
StatusActive
Last updated in NPPESJan 6, 2016
Details
- NPI
- 1760412977
- Entity type
- Organization (NPI-2)
- Legal business name
- Johnny C. Benjamin Jr. M.D., PA
- Organization subpart
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Jan 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | – | – | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – |
Other names
- Pro Spine (Doing Business As)
Practice location
1355 37th StSuite 301
Vero Beach, FL 32960-7320
Phone 772-978-7808 · Fax 772-978-9320
Mailing address
1355 37th StSuite 301
Vero Beach, FL 32960-7320
Phone 772-978-7808 · Fax 772-978-9320
Authorized official
Amanda P Mullikin
Admin Assist
7729787808
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