Healthcare Provider Details

I. General information

NPI: 1285168609
Provider Name (Legal Business Name): DANIEL ALEJANDRO BENITO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-4801
US

IV. Provider business mailing address

PO BOX 100264
GAINESVILLE FL
32610-0264
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-5199
  • Fax: 352-392-6781
Mailing address:
  • Phone: 352-273-5199
  • Fax: 352-392-6781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME155335
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: