Thomas, Benita

Thomas, Benita is an individual health care provider with primary practice located at 3496 Nw Federal Hwy Ste D , Jensen Beach FL 34957-4441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Benita can be contacted via phone (772) 223-5619.

Contact Information

Primary practice address
3496 Nw Federal Hwy Ste D Jensen Beach FL 34957-4441
Phone: (772) 223-5619
Fax: (772) 223-5620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME92052 Florida

Profile Details

NPI number 1124043260
LBN Legal business name Thomas, Benita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 12th, 2022 - about 2 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 1124043260 NPPES
Florida MEDICAID 272943100

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