Individual
DR. BENJAMIN NMN MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2835 W DE LEON ST, SUITE 104, TAMPA, FL 33609-4130
(813) 443-0606
(813) 443-0608
Mailing address
2835 W DE LEON ST, SUITE 104, TAMPA, FL 33609-4130
(813) 443-0606
(813) 443-0608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME98740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421861
UNITED HEALTHCARE
FL
01
—
10919106
CAQH ID
FL
01
—
6116907
CIGNA
FL
01
—
78355
BLUE CROSS BLUE SHIELD ALL PLANS
FL
01
—
7904315
AETNA
FL
01
—
AH232Y
MEDICARE INDIVIDUAL PTAN
FL
Enumeration date
01/03/2006
Last updated
03/07/2023
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