Provider Demographics
NPI:1851334122
Name:BENATOR, RICHARD MAX (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:MAX
Last Name:BENATOR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:601 5TH STREET SOUTH
Mailing Address - Street 2:5TH FLOOR, DEPT. 6941
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4899
Mailing Address - Country:US
Mailing Address - Phone:727-767-8480
Mailing Address - Fax:727-767-8420
Practice Address - Street 1:501 6TH AVENUE SOUTH
Practice Address - Street 2:ALL CHILDREN'S HOSPITAL
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4899
Practice Address - Country:US
Practice Address - Phone:727-767-3318
Practice Address - Fax:727-767-3593
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2010-03-22
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Provider Licenses
StateLicense IDTaxonomies
FLME538432085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology