Provider Demographics
NPI:1003988734
Name:BENOIT, DANIEL ANDRE (ARNP)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ANDRE
Last Name:BENOIT
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6043 WINTHROP COMMERCE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4272
Mailing Address - Country:US
Mailing Address - Phone:813-685-0827
Mailing Address - Fax:813-685-0968
Practice Address - Street 1:6043 WINTHROP COMMERCE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4272
Practice Address - Country:US
Practice Address - Phone:813-685-0827
Practice Address - Fax:813-685-0968
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2730802174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist