Organization
DELOS CLIFT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY BENITEZ (OFFICE MANAGER)
(407) 472-0840
Entity
Organization
Contact information
Practice address
3000 N ORANGE AVE, SUITE A, ORLANDO, FL 32804-7613
(407) 472-0840
(407) 472-0841
Mailing address
3000 N ORANGE AVE, SUITE A, ORLANDO, FL 32804-7613
(407) 472-0840
(407) 472-0841
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME60789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12931
BLUE CROSS/BLUE SHIELD
FL
01
—
2068831
AETNA HMO
FL
01
—
211537
AVMED
FL
01
—
2380840009
CIGNA
FL
01
—
A004
TRICARE
FL
Enumeration date
05/12/2006
Last updated
04/10/2008
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