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JOHNNY CLYDE JR BENJAMIN

Debarred entity

JOHNNY CLYDE JR BENJAMIN is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	JOHNNY CLYDE JR BENJAMIN · Johnny Clyde Benjamin Jr.				[sources]
Birth date	1965-11-13				[sources]
Nationality	not available				[sources]
Country	United States of America				[sources]
First name	Johnny				[sources]
ID Number	`MD050488L (PA)`				[sources]
Last name	Benjamin				[sources]
Middle name	CLYDE JR · Clyde				[sources]
NPI	`1265464168`				[sources]
Title	MD				[sources]
Position	SURGERY (PHYSICIAN (MD, DO))				[sources]
Address	(FL), (FL) · P O BOX 1033, #16689-104, COLEMAN, FL 33521				[sources]
Last change	2025-09-12	Last processed	2025-10-03	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States of America	Department of Human Services		2020-02-20	-

Address
Full address	Country
(FL), (FL) · (FL.), (FL.) · FL, FL	United States of America

People and companies excluded from Federally funded health care programs

United States of America · OIG

Medical providers who are precluded from participation in the Medical Assistance Program

United States of America · DHS

Source data IDs: us-medpa-fcccdb162e092665dae2c8c096a20b869ecdbe06 · us-fed-excl-johnny-clyde-jr-benjamin-33521-coleman

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