Individual
VICTOR HUGO DA COSTA BENALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR STE 1100, JACKSONVILLE, FL 32207-8202
(904) 388-6518
(904) 384-1005
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036.173112
IL
207T00000X
Neurological Surgery Physician
86127-20
WI
207T00000X
Neurological Surgery Physician
Primary
ME170429
FL
2085N0700X
Neuroradiology Physician
86127-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100367558
—
WI
Enumeration date
08/14/2022
Last updated
11/14/2025
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