Feliciano, Benigno
Feliciano, Benigno is an individual health care provider with primary practice located at 1109 Bryn Mawr Ave , Lake Wales FL 33853-4333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Feliciano, Benigno can be contacted via phone (863) 679-2984.Contact Information
Primary practice address
1109 Bryn Mawr Ave
Lake Wales FL 33853-4333
Phone: (863) 679-2984
Fax: (863) 676-2086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME87151 | Florida |
Profile Details
| NPI number | 1689657959 |
|---|---|
| LBN Legal business name | Feliciano, Benigno |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Mar 15th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689657959 | NPPES |
| Florida | MEDICAID | 270356400 |
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