JOHNNY CLYDE JR BENJAMIN — OIG Excluded Provider (COLEMAN, FL, 1128a4)
JOHNNY CLYDE JR BENJAMIN — OIG Excluded Provider (COLEMAN, FL, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JOHNNY CLYDE JR BENJAMIN; Type: Individual; Provider category: PHYSICIAN (MD, DO).
| Name | JOHNNY CLYDE JR BENJAMIN |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN (MD, DO) |
| Specialty | SURGERY |
| NPI | 1265464168 |
| City | COLEMAN |
| State | FL |
| ZIP | 33521 |
| Exclusion authority | 1128a4 |
| Exclusion reason | Felony conviction relating to controlled substances |
| Exclusion date | 2020-02-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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