Organization
BENESSERE MEDICAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS DIAZ PA (PART OWNER)
(786) 506-1786
Entity
Organization
Contact information
Practice address
790 NW 107TH AVE STE 301, MIAMI, FL 33172-3160
(786) 953-6559
Mailing address
790 NW 107TH AVE STE 301, MIAMI, FL 33172-3160
(786) 953-6559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106809400
—
FL
Enumeration date
10/07/2022
Last updated
10/07/2022
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