Individual
ANTUAN BENITEZ GIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
12901 SW 267TH ST, HOMESTEAD, FL 33032-8496
(786) 678-1260
Mailing address
12901 SW 267TH ST, HOMESTEAD, FL 33032-8496
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11037808
FL
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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