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ELIZABETH BENITEZ MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1083659387

Individual Registrant:
 ELIZABETH  BENITEZ MD
Gender: F
Sole Proprietor

Location and contact information for practice:
215 NW 138TH TER SUITE 100 NEWBERRY, FL 32669-2090 US
Tel: 352-332-2345  Fax: 352-332-2394

Contact information for business:
215 NW 138TH TER SUITE 100 NEWBERRY, FL 32669-2090 US
Tel: 352-332-2345  Fax: 352-332-2394

Registration Information:
NPI: 1083659387
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
FLME75288
N174400000XOther Service Providers
Specialist
FLME75288

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
256212000FL05




HEALTH CARE JOBS FL - Page 1



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