Individual
JOHN A BENEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1911 N MILLS AVE, ORLANDO, FL 32803
(407) 893-8200
(407) 893-8220
Mailing address
1911 N MILLS AVE, ORLANDO, FL 32803-1432
(407) 893-8200
(407) 893-8220
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME57200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370578100
—
FL
Enumeration date
04/18/2006
Last updated
07/21/2020
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