Benitez, Norberto

Benitez, Norberto is an sole proprietor health care provider with primary practice located at 274 3Rd Ave S , Jacksonville Beach FL 32250-6727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Benitez, Norberto can be contacted via phone (904) 249-3373.

Contact Information

Primary practice address
274 3Rd Ave S Jacksonville Beach FL 32250-6727
Phone: (904) 249-3373
Fax: (904) 249-3375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME44373 Florida

Profile Details

NPI number 1700879772
LBN Legal business name Benitez, Norberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2005
Last updated Sep 4th, 2011 - about 13 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 1700879772 NPPES
Florida MEDICAID 069161500

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