Individual
JUAN CARLOS BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
245 CITRUS TOWER BLVD STE 201, CLERMONT, FL 34711-1907
(352) 708-3021
Mailing address
245 CITRUS TOWER BLVD STE 201, CLERMONT, FL 34711-1907
(386) 215-0973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2517
PR
363A00000X
Physician Assistant
Primary
PACN116
FL
Other
Enumeration date
04/16/2025
Last updated
05/15/2026
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