Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | ME57528 | FL |
NPI | 1487684916 |
---|---|
Provider Name | Susan Vento Benenati |
First Address | Coral Gables, FL 33143-3638 |
Second Address | Coral Gables, FL 33143-3638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 09/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001872BAPT | NHP (01) | FL |
003GY | PREFERRED CARE PARTNERS (01) | FL |
11654 | BCBS (01) | FL |
3270549-003 | CIGNA (01) | FL |
E80650 | (02) | FL |