MEDICARE: MS. GIOVANNA BENITO APRN

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	363LF0000X	Family Nurse Practitioner	APRN11036680	FL

General Provider Information

NPI Number	:	1033926712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GIOVANNA BENITO APRN

Provider Business Mailing Address
First Line	:	10310 SW 118TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-4009
Country	:	US
Telephone Number	:	786-942-8622
Fax Number	:

Provider Business Practice Location Address
First Line	:	10310 SW 118TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-4009
Country	:	US
Telephone Number	:	786-942-8622
Fax Number	:

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

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	12/16/2024

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