Benjamin D. Shore

NPI #1457221939 in Sewalls Point, Florida

Provider Information

NPI Number: 1457221939
Entity Type: Individual
Name: Benjamin D. Shore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Nov 10, 2025
Last Updated: Nov 10, 2025

Practice Location

Address: 22 EMARITA WAY
City: Sewalls Point
State: Florida
ZIP Code: 34996-6706
Phone: (772) 708-6696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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