Individual
FERNANDO JAVIER BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4374 BELL LN, PACE, FL 32571-2742
(850) 291-4469
Mailing address
7651 HIGHWAY 69 N APT 1824, NORTHPORT, AL 35473-7877
(850) 291-4469
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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