Moreno, Benjamin

Moreno, Benjamin is an sole proprietor health care provider with primary practice located at 4543 Pleasant Hill Rd , Kissimmee FL 34759-3403. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Moreno, Benjamin can be contacted via phone (407) 933-7900.

Contact Information

Primary practice address
4543 Pleasant Hill Rd Kissimmee FL 34759-3403
Phone: (407) 933-7900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 16431 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN326 Florida

Profile Details

NPI number 1548212897
LBN Legal business name Moreno, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Nov 23rd, 2016 - about 9 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 1548212897 NPPES
Florida MEDICAID 005544500
Florida Other 24403MO
Florida Other ACN326

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