Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIDIER MBENZA, PA-C
Active Sole ProprietorDIDIER MBENZA, PA-C is a Medical Physician Assistant healthcare provider located in LAUDERDALE LAKES, Florida. NPI 1245587161 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LAUDERDALE LAKES, FL
Registration Details
- NPI Number
- 1245587161
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2012 (14.055310672493 yrs)
- Last Updated
- Aug 9, 2012
- License
-
PA9106549 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3500 N STATE ROAD 7SUITE 211LAUDERDALE LAKES, FL, 333195600Browse FL providers · Browse ZIP 33319
- Phone
- 9547664233
- Fax
- 9543062056
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in LAUDERDALE LAKES, FL
| Name | Credential | NPI |
|---|---|---|
| JUDITH SPRING GALLAGHER | P.A. | 1710963129 |
| JOHANA F DUQUE | PA | 1497057350 |
| TIFFANY RENEE COMERIE | PA | 1164822649 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.