Individual
BENJAMIN MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
29277 US HIGHWAY 19 N, CLEARWATER, FL 33761-2102
(832) 804-8702
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4197
MI
Other
Enumeration date
08/03/2016
Last updated
10/31/2018
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