Individual
DR. NORBERTO BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
274 3RD AVE S, JACKSONVILLE BEACH, FL 32250-6727
(904) 249-3373
(904) 249-3375
Mailing address
309 PLANTATION CIR, PONTE VEDRA BEACH, FL 32082-3927
(904) 273-1996
(904) 280-0371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME44373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069161500
—
FL
Enumeration date
08/25/2005
Last updated
09/04/2011
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