Individual
MICHELLE BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
18680 SW 376TH ST, HOMESTEAD, FL 33034-6304
(561) 339-0637
Mailing address
9121 NW 154TH TER, MIAMI LAKES, FL 33018-1410
(561) 339-0637
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
ME126369
FL
2084P0800X
Psychiatry Physician
Primary
ME126369
FL
Other
Enumeration date
04/12/2012
Last updated
05/07/2021
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