| NPI | 1790155455 |
|---|---|
| Doing Business As | BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ILNISE MATHIEU Director Of Operation 954-251-0267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |