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NPI Code Detail

MEDICARE: BENJAMIN AGUILAR

MEDICARE:   BENJAMIN  AGUILAR
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
1172V00000XCommunity Health Worker6906821FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790142396
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN AGUILAR
Provider Business Mailing Address
First Line : 6240 BRISTOL LN
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-1230
Country : US
Telephone Number : 352-942-6256
Fax Number : 352-556-3868
Provider Business Practice Location Address
First Line : 6240 BRISTOL LN
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-1230
Country : US
Telephone Number : 352-942-6256
Fax Number : 352-556-3868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2016
Last Update Date : 01/27/2016

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Directions to “ BENJAMIN AGUILAR ” Practice Location

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