| Benjamin Devries DO LLC | |
|
1831 N Belcher Rd Ste A3 Clearwater FL 33765-1417 | |
| (727) 600-8500 | |
| (877) 692-1943 |
| Full Name | Benjamin Devries DO LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1831 N Belcher Rd Ste A3, Clearwater, Florida |
| Authorized Official Name and Position | Benjamin Devries (OWNER) |
| Authorized Official Contact | 7276008500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Devries DO LLC 1831 N Belcher Rd Ste A3 Clearwater FL 33765-1417 Ph: (727) 600-8500 | Benjamin Devries DO LLC 1831 N Belcher Rd Ste A3 Clearwater FL 33765-1417 Ph: (727) 600-8500 |
| NPI Number | 1558916494 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 01/07/2026 |
| Certification Date | 01/07/2026 |
| Medicare PECOS PAC ID | 6709218860 |
|---|---|
| Medicare Enrollment ID | O20191112001931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558916494 | NPI | - | NPPES |
| 72062 | Other | BLUE CROSS BLUE SHIELD | |
| 103871800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261Q00000X | Clinic/center | () | Secondary |
| Provider Name | Benjamin Devries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164738159 PECOS PAC ID: 0244470235 Enrollment ID: I20130716000546 |
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