Individual
EDILBERTO BENITEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(305) 725-9421
Mailing address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(305) 725-9421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME126193
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME126193
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/22/2013
Last updated
06/17/2019
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