Montana-Benincasa, Judy Ann

Montana-Benincasa, Judy Ann is an individual health care provider with primary practice located at 10051 5Th St N Ste 200 , St Petersburg FL 33702-2211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Montana-Benincasa, Judy Ann can be contacted via phone (727) 824-0780.

Contact Information

Primary practice address
10051 5Th St N Ste 200 St Petersburg FL 33702-2211
Phone: (727) 824-0780
Fax: (813) 514-8891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN2996642 Florida

Profile Details

NPI number 1457398604
LBN Legal business name Montana-Benincasa, Judy Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Mar 10th, 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 1457398604 NPPES
Florida Other 500005735 RAILROAD MEDICARE NUMBER
Florida MEDICAID 304640100 RAILROAD MEDICARE NUMBER

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