Sanpedro, Benedicto P

Sanpedro, Benedicto P is an individual health care provider with primary practice located at 3731 Lake Worth Road Suite 1, Lake Worth FL 33461. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Sanpedro, Benedicto P can be contacted via phone (561) 967-0234.

Contact Information

Primary practice address
3731 Lake Worth Road Suite 1 Lake Worth FL 33461
Phone: (561) 967-0234
Fax: (561) 439-4833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X ME0029312 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME29312 Florida

Profile Details

NPI number 1992719686
LBN Legal business name Sanpedro, Benedicto P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 27th, 2010 - about 14 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 1992719686 NPPES
Florida MEDICAID 058858000

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