Individual
BENJAMIN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136
(305) 243-1960
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-1960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9332740
FL
363L00000X
Nurse Practitioner
Primary
ARNP9332740
FL
Other
Enumeration date
10/22/2015
Last updated
07/11/2018
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