Individual
DR. JANE M. BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 S ORANGE AVE, SUITE 100, ORLANDO, FL 32806-2944
(407) 650-7000
(407) 650-7124
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME55220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064620200
—
FL
Enumeration date
11/02/2006
Last updated
02/06/2024
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