Organization
OMAR BENITEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR BENITEZ M.D. (PRESIDENT)
(305) 591-0027
Entity
Organization
Contact information
Practice address
2141 SW 1ST ST, SUITE 107, MIAMI, FL 33135-1694
(305) 591-0027
(305) 591-4284
Mailing address
2141 SW 1ST ST, SUITE 107, MIAMI, FL 33135-1694
(305) 591-0027
(305) 591-4284
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
HCC6978
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/29/2008
Last updated
04/10/2023
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