Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | ME107840 | FL |
NPI | 1245534593 |
---|---|
Provider Name | Dr. Carmen E Ocampo Benavides |
First Address | Miami, FL 33131-3606 |
Second Address | Miami, FL 33131-3606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2010 |
Last Update Date | 30/12/2010 |