Individual
BENJAMIN PANGLAO MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
953 E DEL WEBB BLVD, SUN CITY CENTER, FL 33573-6669
(813) 634-6880
(813) 634-6833
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0070788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0146941
CIGNA
FL
05
—
251410901
—
FL
01
—
31492A
BCBS
FL
01
—
5395218
AETNA
FL
01
—
LM607
MEDICARE
FL
Enumeration date
08/04/2006
Last updated
08/26/2020
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