Individual
ELIDA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 265-0055
Mailing address
2508 SW 35TH PL, APT. U124, GAINESVILLE, FL 32608-3252
(863) 344-1336
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9279925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015475500
—
FL
Enumeration date
07/30/2015
Last updated
10/22/2015
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