Provider Demographics
NPI:1356347256
Name:CHOINIERE, BENOIT ORPHA (APRN/ DC)
Entity type:Individual
Prefix:MR
First Name:BENOIT
Middle Name:ORPHA
Last Name:CHOINIERE
Suffix:
Gender:
Credentials:APRN/ DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7426 ROME LN
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-1200
Mailing Address - Country:US
Mailing Address - Phone:727-459-4996
Mailing Address - Fax:
Practice Address - Street 1:3021 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-3300
Practice Address - Country:US
Practice Address - Phone:352-688-3379
Practice Address - Fax:352-398-1333
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY356554363LF0000X
NM356554363LF0000X
WAAP61671842363LF0000X
FLAPRN11027016363LF0000X
FLCH10323111N00000X
NY876332163W00000X
CA95415195163W00000X
FLRN9525955163W00000X
MTNUR-APRN-LIC-262746363LF0000X
CA95034718363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL120643900Medicaid
IN000000389115OtherBLUE CROSS / BLUE SHIELD
INP00330677OtherRAILROAD MEDICARE
IN253850CMedicare PIN
IN233350CMedicare PIN
INP00330677OtherRAILROAD MEDICARE