Healthcare Provider Details

I. General information

NPI: 1053937730
Provider Name (Legal Business Name): BENEDICT HILADO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W COLONIAL DR STE 382
OCOEE FL
34761-3433
US

IV. Provider business mailing address

SPARROW HOSPITAL 1215 EAST MICHIGAN AVE
LANSING MI
48912
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-2800
  • Fax: 321-841-4504
Mailing address:
  • Phone: 517-432-9277
  • Fax: 517-432-9414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberOS22235
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: