Individual
BENIGNO FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1109 BRYN MAWR AVE, LAKE WALES, FL 33853-4333
(863) 679-2984
(863) 676-2086
Mailing address
1109 BRYN MAWR AVE, LAKE WALES, FL 33853-4333
(863) 679-2984
(863) 676-8026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME87151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270356400
—
FL
Enumeration date
11/21/2005
Last updated
03/15/2016
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