| Jorge Benito Md Pa | |
|
7000 Sw 62nd Ave Ste 600 South Miami FL 33143-4728 | |
| (786) 718-7073 | |
| (305) 709-6058 |
| Full Name | Jorge Benito Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7000 Sw 62nd Ave Ste 600, South Miami, Florida |
| Authorized Official Name and Position | Jorge Benito (OWNEROFFICER) |
| Authorized Official Contact | 7862943745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Benito Md Pa 10798 Sw 43rd Ln Miami FL 33165-4857 Ph: (786) 718-7073 | Jorge Benito Md Pa 7000 Sw 62nd Ave Ste 600 South Miami FL 33143-4728 Ph: (786) 718-7073 |
| NPI Number | 1841217494 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 8527070226 |
|---|---|
| Medicare Enrollment ID | O20070604000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841217494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME62660 (Florida) | Primary |
| Provider Name | Jorge Benito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356384606 PECOS PAC ID: 9133151137 Enrollment ID: I20050909000568 |
| Provider Name | David R Tano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215294533 PECOS PAC ID: 3870979271 Enrollment ID: I20221010000609 |
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