Provider Demographics
NPI:1154627883
Name:GASPAR, BENJAMIN FRANCISCO
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:FRANCISCO
Last Name:GASPAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4860 SE SALVATORI RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-8245
Mailing Address - Country:US
Mailing Address - Phone:772-267-5988
Mailing Address - Fax:
Practice Address - Street 1:4860 SE SALVATORI RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-8245
Practice Address - Country:US
Practice Address - Phone:772-267-5988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator