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NPI Code Detail

MEDICARE: JENNY ANGELICA BENAVIDES APRN

MEDICARE: JENNY ANGELICA BENAVIDES 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
1363LF0000XFamily Nurse PractitionerF11240573FL

General Provider Information

NPI Number : 1497571509
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY ANGELICA BENAVIDES APRN
Provider Business Mailing Address
First Line : 750 S FEDERAL HWY
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5424
Country : US
Telephone Number : 754-348-5001
Fax Number :
Provider Business Practice Location Address
First Line : 750 S FEDERAL HWY
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5424
Country : US
Telephone Number : 754-348-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2024
Last Update Date : 03/20/2026

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Directions to “ JENNY ANGELICA BENAVIDES APRN” Practice Location

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