person
Didier Mbenza, PA-C
Medical Physician Assistant in Lauderdale Lakes, Florida
NPI 1245587161

Didier Mbenza is a Medical Physician Assistant based in Lauderdale Lakes, FL and is specialized in Medical. Didier Mbenza practices in Lauderdale Lakes, FL and has the professional credentials of PA-C. The NPI Number for Didier Mbenza is 1245587161 and holds a License No. PA9106549 (Florida).

The current practice location address for Didier Mbenza is 3500 N State Road 7, Lauderdale Lakes, FL and can be reached out via phone at 954-766-4233 and via fax at 954-306-2056.

Location: 3500 N State Road 7, Lauderdale Lakes, FL, 33319-5600
person
Provider Profile Details
NPI Number
1245587161
Provider Name
Didier Mbenza
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3500 N State Road 7, Lauderdale Lakes, FL, 33319-5600
Phone Number
954-766-4233
Fax Number
954-306-2056
Provider Enumeration Date
08/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9106549 01 FL PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
3500 N State Road 7
City
State
Zip
33319-5600
Phone Number
954-766-4233
Fax Number
954-306-2056
person
Provider Business Mailing Address Details
Address
3500 N State Road 7
City
State
Zip
33319-5600
Phone Number
954-766-4233
Fax Number
954-306-2056
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9106549 (Florida)
Definition
Definition to come...
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