Individual
MRS. GLORIA BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11850 SHERRY LN, MIAMI, FL 33183-4833
(727) 344-7848
Mailing address
14732 SW 43RD LN, MIAMI, FL 33185-4354
(305) 984-4605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4296
FL
Other
Enumeration date
08/20/2008
Last updated
09/13/2010
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