Provider Demographics
NPI:1629403514
Name:BUENMED, PA
Entity Type:Organization
Organization Name:BUENMED, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBENAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-774-6800
Mailing Address - Street 1:1900 BOOTHE CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-6751
Mailing Address - Country:US
Mailing Address - Phone:407-774-6800
Mailing Address - Fax:407-774-6806
Practice Address - Street 1:1900 BOOTHE CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-6751
Practice Address - Country:US
Practice Address - Phone:407-774-6800
Practice Address - Fax:407-774-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty