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Individual

GEORGE ROBERT BENELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.T, RPA

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5916
Mailing address
9901 SW 165TH TER, MIAMI, FL 33157-3264
(786) 427-4287
(305) 325-4362

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
FL
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
Primary
57646
FL

Other

Enumeration date
06/25/2007
Last updated
10/23/2008
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