Provider Demographics
NPI:1447205133
Name:H & T BENAZET MD PA
Entity Type:Organization
Organization Name:H & T BENAZET MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TULIA
Authorized Official - Middle Name:ROSARIO
Authorized Official - Last Name:BENAZET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-260-9602
Mailing Address - Street 1:7235 CORAL WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1466
Mailing Address - Country:US
Mailing Address - Phone:305-260-9602
Mailing Address - Fax:305-260-9607
Practice Address - Street 1:7235 CORAL WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1466
Practice Address - Country:US
Practice Address - Phone:305-260-9602
Practice Address - Fax:305-260-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2234Medicare ID - Type Unspecified