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Individual

PASQUALE W BENEDETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-4664
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-4664
(305) 243-8470

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME41018
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0422690-00
FL
Enumeration date
06/26/2006
Last updated
03/28/2014
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