Individual
MARIO ABUNDIO BENCOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18255 HOMESTEAD AVE, MIAMI, FL 33157-5564
(786) 845-0550
Mailing address
350 W PARK DR APT 203, MIAMI, FL 33172-3943
(786) 399-3890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9241274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9241274
REGISTER NURSE
—
Enumeration date
08/31/2020
Last updated
09/10/2020
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