Healthcare Provider Details

I. General information

NPI: 1558207779
Provider Name (Legal Business Name): SOPHIA L POSADA-BENITEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 S MAGNOLIA AVE
CENTER HILL FL
33514-4104
US

IV. Provider business mailing address

235 S MAGNOLIA AVE
CENTER HILL FL
33514-4104
US

V. Phone/Fax

Practice location:
  • Phone: 352-457-4199
  • Fax:
Mailing address:
  • Phone: 352-457-4199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number109213
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: