Individual
ABDELKADER BENCHIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12138 MIRACLE MILE DR, RIVERVIEW, FL 33578-4393
(813) 526-3794
Mailing address
12138 MIRACLE MILE DR, RIVERVIEW, FL 33578-4393
(813) 526-3794
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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