Organization
BENITEZ UROLOGY LLC
Active
Other names
Complete Care Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR BENITEZ MD (PHYSICIAN)
(239) 204-9855
Entity
Organization
Contact information
Practice address
13770 PLANTATION RD STE 3, FORT MYERS, FL 33912-4460
(239) 204-9855
(239) 204-9330
Mailing address
13770 PLANTATION RD STE 3, FORT MYERS, FL 33912-4460
(239) 204-9855
(239) 204-9330
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME73664
FL
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
ME73664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME73664
MEDICAL LICENSE
FL
Enumeration date
09/29/2017
Last updated
07/21/2022
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