BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION (NPI# 1518248418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518248418 |
| Entity Type | Organization |
| Organization Name | BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION |
| Other Organization Name | BENJAMIN WELLNESS CENTER OF HOLLYWOOD |
| Practice Address |
2843 Pembroke Rd Hollywood FL 33020-5649 |
| Practice Telephone | 9542510267 |
| Practice Fax Number | 7542120473 |
| Mailing Telephone | 9542510267 |
| Mailing Fax Number | 9542525327 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2020-10-04 |
| Authorized Official Name | DR. VAUNRANCE J BENJAMIN (OWNER) |
| Authorized Official Telephone | 7183122529 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 279510800 | 05 |
| Other Name | Type Code |
|---|---|
| BENJAMIN WELLNESS CENTER OF HOLLYWOOD | Doing Business As Name - Organization |
| Street Address |
2843 PEMBROKE RD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-5649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831178706 | Vaunrance J Benjamin | Obstetrics & Gynecology | 2843 Pembroke Rd, Hollywood, FL 33020-5649 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730628066 | Momentum Health, LLC | Clinic/Center | 6400 Fletcher St, Hollywood, FL 33023-2130 | 2017-02-20 |
| 1811352420 | Donald Dixon Md Pa. | Clinic/Center | 7261 Sheridan St Ste 100, Hollywood, FL 33024-2708 | 2015-12-24 |
| 1861740946 | Maha Medical Group Inc | Clinic/Center | 3939 Hollywood Blvd, Suite 2-b, Hollywood, FL 33021-6749 | 2012-08-21 |
| 1104189091 | Hollywood Medical Care Inc | Clinic/Center | 795 S Federal Hwy, Hollywood, FL 33020-5401 | 2012-06-17 |
| 1841558202 | Gilbert Medical Group Inc | Clinic/Center | 4430 Sheridan St, Suite A, Hollywood, FL 33021-3546 | 2012-04-23 |
| 1366723777 | Physician Associates of Broward Inc | Clinic/Center | 9900 Stirling Rd, Suite 102, Hollywood, FL 33024-8065 | 2011-08-30 |
| 1437440237 | Broward Physicians Group of Florida, LLC | Clinic/Center | 2303 Hollywood Blvd, Hollywood, FL 33020-6711 | 2011-04-27 |
| 1932405230 | Miguel E Gonzalez Md Pa | Clinic/Center | 6720 Taft St, Hollywood, FL 33024-3903 | 2011-02-03 |
| 1093025231 | Van Buren Medical Center, Inc. | Clinic/Center | 2600 Van Buren St, Hollywood, FL 33020-4818 | 2010-10-20 |
| 1184931339 | Comprehensive Health & Wellness Center, P.a. | Clinic/Center | 4040 Sheridan St, Hollywood, FL 33021-3536 | 2010-09-09 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.