Organization
BENINCASA
Active
Other names
BENINCASA M DO PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD IJAZ (BILLING MANAGER)
(305) 363-2889
Entity
Organization
Contact information
Practice address
2001 W 68TH ST STE 202, HIALEAH, FL 33016-1801
(305) 364-2107
Mailing address
3811 SW 160TH AVE APT 303, MIRAMAR, FL 33027-4666
(954) 562-8317
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100908500
—
FL
Enumeration date
03/30/2020
Last updated
04/27/2021
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