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Individual

MENFIS BENITEZ RUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18245 PAULSON DR STE 104, PORT CHARLOTTE, FL 33954-1019
(813) 528-7048
Mailing address
703 SW 13TH ST, CAPE CORAL, FL 33991-2743
(239) 200-4690

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11575
FL

Other

Enumeration date
11/23/2020
Last updated
02/25/2025
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