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Individual

OMAR BENITEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 SW 127TH AVE, MIAMI, FL 33175-1437
(786) 426-7149
Mailing address
1800 SW 127TH AVE, MIAMI, FL 33175-1437
(786) 426-7149

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME101324
FL

Other

Enumeration date
04/03/2008
Last updated
05/06/2009
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