Provider Demographics
NPI:1760888150
Name:BENITEZ, ALEXANDRA ALBARRAN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:ALBARRAN
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 E STATE ROAD 434 UNIT 1071
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5283
Mailing Address - Country:US
Mailing Address - Phone:407-767-5800
Mailing Address - Fax:407-767-6999
Practice Address - Street 1:587 E STATE ROAD 434 UNIT 1071
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5283
Practice Address - Country:US
Practice Address - Phone:407-767-5800
Practice Address - Fax:407-767-6999
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9279825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily