| Benjamin Algaze, Ph.d., P.a. | |
|
21304 Ne 19th Ct Miami FL 33179-1517 | |
| (305) 586-2686 | |
| (786) 320-5475 |
| Full Name | Benjamin Algaze, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 21304 Ne 19th Ct, Miami, Florida |
| Authorized Official Name and Position | Benjamin Algaze (PRESIDENT) |
| Authorized Official Contact | 3055862686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Algaze, Ph.d., P.a. 21304 Ne 19th Ct Miami FL 33179-1517 Ph: (305) 586-2686 | Benjamin Algaze, Ph.d., P.a. 21304 Ne 19th Ct Miami FL 33179-1517 Ph: (305) 586-2686 |
| NPI Number | 1912216508 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 11/18/2010 |
| Medicare PECOS PAC ID | 3678742616 |
|---|---|
| Medicare Enrollment ID | O20110809000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912216508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3339 (Florida) | Primary |
| Provider Name | Benjamin Algaze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992729057 PECOS PAC ID: 0749249639 Enrollment ID: I20110811000205 |
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