BENJAMIN J COUSINS
Physician at Trailwood, Las Vegas, NV

License number
Florida 15448
Issued Date
Jun 14, 2010
Effective Date
Jul 27, 2012
Expiration Date
Jun 30, 2012
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
9901 Trailwood Dr, Las Vegas, NV 89134
Pob 016960, Miami, FL 33101
Phone
(702) 882-6674

Organization information

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Benjamin J. Cousins M.D. PA

90 Alton Rd, Miami, FL 33139

Registration:
May 15, 2013
State ID:
P13000043552
Business type:
Domestic for Profit Corporation
President:
Benjamin Cousins (President)