Individual
DR. BENEDICTO P SANPEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3731 LAKE WORTH ROAD, SUITE 1, LAKE WORTH, FL 33461
(561) 967-0234
(561) 439-4833
Mailing address
3731 LAKE WORTH ROAD, SUITE 1, LAKE WORTH, FL 33461
(561) 967-0234
(561) 439-4833
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
ME0029312
FL
207Q00000X
Family Medicine Physician
Primary
ME29312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058858000
—
FL
Enumeration date
07/28/2006
Last updated
07/27/2010
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