Benitez, Angel Emanuel

Benitez, Angel Emanuel is an sole proprietor health care provider with primary practice located at 1425 Dunn Ave , Daytona Beach FL 32114-1437. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Benitez, Angel Emanuel can be contacted via phone (386) 323-9600.

Contact Information

Primary practice address
1425 Dunn Ave Daytona Beach FL 32114-1437
Phone: (386) 323-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 018283 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN994 Florida

Profile Details

NPI number 1760763114
LBN Legal business name Benitez, Angel Emanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2011
Last updated Feb 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760763114 NPPES
Other FN364A CMS PTAN
Other 18283 CMS PTAN

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