Organization
FLORIDA PHYSICIANS GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFRIDO BENITEZ MD (OWNER)
(305) 696-7921
Entity
Organization
Contact information
Practice address
686 E 49TH ST, HIALEAH, FL 33013-1964
(305) 696-7921
(305) 688-9671
Mailing address
521 RAVEN AVE, MIAMI SPRINGS, FL 33166-3950
(305) 696-7921
(305) 688-9671
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME68516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379024001
—
FL
01
—
40272A
BCBS
FL
Enumeration date
11/29/2007
Last updated
07/30/2020
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