Individual
BENITA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3496 NW FEDERAL HWY STE D, JENSEN BEACH, FL 34957-4441
(772) 223-5619
(772) 223-5620
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME92052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272943100
—
FL
Enumeration date
07/12/2006
Last updated
03/10/2026
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