Provider Demographics
NPI:1740366301
Name:SANCHEZ, BEN-EMIR (MD)
Entity type:Individual
Prefix:
First Name:BEN-EMIR
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1806 NORTH FLAMINGO RD
Mailing Address - Street 2:#150
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028
Mailing Address - Country:US
Mailing Address - Phone:954-431-0131
Mailing Address - Fax:954-431-3233
Practice Address - Street 1:817 SOUTH UNIVERSITY DRIVE
Practice Address - Street 2:STE #101
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-474-5437
Practice Address - Fax:954-472-3783
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2011-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0068764208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL37827430025Medicaid
C05688Medicare UPIN
FL28484Medicare ID - Type Unspecified