MEDICARE: DR. NORMA BENITEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME0054073	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME0054073	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1013955988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMA BENITEZ MD

Provider Business Mailing Address
First Line	:	3191 CORAL WAY
Second Line	:	SUITE 303
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3213
Country	:	US
Telephone Number	:	305-461-6060
Fax Number	:	305-461-5911

Provider Business Practice Location Address
First Line	:	6221 N FEDERAL HWY
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-1903
Country	:	US
Telephone Number	:	954-491-1686
Fax Number	:	305-461-5911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	03/07/2023

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