| Florida Physicians Group Inc | |
|
686 E 49th St Hialeah FL 33013-1964 | |
| (305) 696-7921 | |
| (305) 688-9671 |
| Full Name | Florida Physicians Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 686 E 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Wilfrido Benitez (OWNER) |
| Authorized Official Contact | 3056967921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Physicians Group Inc 521 Raven Ave Miami Springs FL 33166-3950 Ph: (305) 696-7921 | Florida Physicians Group Inc 686 E 49th St Hialeah FL 33013-1964 Ph: (305) 696-7921 |
| NPI Number | 1912189192 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 07/30/2020 |
| Medicare PECOS PAC ID | 5294864229 |
|---|---|
| Medicare Enrollment ID | O20100528000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912189192 | NPI | - | NPPES |
| 40272A | Other | FL | BCBS |
| 379024001 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME68516 (Florida) | Primary |
| Provider Name | Wilfrido Antonio Benitez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629026695 PECOS PAC ID: 3678602604 Enrollment ID: I20100528000618 |
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