Individual
SUSAN VENTO BENENATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6705 SW 57TH AVE, SUITE 318, CORAL GABLES, FL 33143-3638
(305) 665-1623
(305) 666-9176
Mailing address
6705 SW 57TH AVE, SUITE 318, CORAL GABLES, FL 33143-3638
(305) 665-1623
(305) 666-9176
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
ME57528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001872BAPT
NHP
FL
01
—
003GY
PREFERRED CARE PARTNERS
FL
01
—
11654
BCBS
FL
01
—
3270549-003
CIGNA
FL
Enumeration date
07/03/2006
Last updated
03/09/2011
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