Individual provider · Type 1 NPI

Didier Mbenza, PA-C

Medical Physician Assistant · Lauderdale Lakes, FL

NPI number 1245587161 Active

Practice location

3500 N State Road 7, Suite 211
Lauderdale Lakes, FL 33319-5600

Fax (954) 306-2056

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9106549 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1245587161

Didier Mbenza, PA-C's National Provider Identifier is 1245587161, issued on Aug 9, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Aug 9, 2012.