Individual
MR. BENEDITO SOARES OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
15100 RESCUE WAY, CLEARWATER, FL 33762-3502
(172) 753-5143
Mailing address
6413 VITEX LN, HONOLULU, HI 96818-7091
(508) 736-9044
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
02/14/2023
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