Individual
MS. JAIME ALEXIS BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17 DAVIS BLVD, TAMPA, FL 33606-3475
(813) 821-8029
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11018642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114375300
—
FL
01
—
J2WN2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/09/2022
Last updated
07/08/2022
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