# OMAR BENITEZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699931782
- **Authorized official:** OMAR BENITEZ M.D. (PRESIDENT)
- **Authorized official phone:** (305) 591-0027

## Contact information

- **Practice address:** 2141 SW 1ST ST, SUITE 107, MIAMI, FL 33135-1694
- **Practice address phone:** (305) 591-0027
- **Practice address fax:** (305) 591-4284
- **Mailing address:** 2141 SW 1ST ST, SUITE 107, MIAMI, FL 33135-1694
- **Mailing address phone:** (305) 591-0027
- **Mailing address fax:** (305) 591-4284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | HCC6978 | FL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2008
- **Last updated:** 04/10/2023