Provider Demographics
NPI:1750102208
Name:BENAVENTE, JOVANNA (CPD, LC (CBI))
Entity type:Individual
Prefix:
First Name:JOVANNA
Middle Name:
Last Name:BENAVENTE
Suffix:
Gender:F
Credentials:CPD, LC (CBI)
Other - Prefix:
Other - First Name:JOVANNA
Other - Middle Name:
Other - Last Name:BENAVENTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPD, LC (CBI)
Mailing Address - Street 1:1177 SW 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-5048
Mailing Address - Country:US
Mailing Address - Phone:305-915-7882
Mailing Address - Fax:
Practice Address - Street 1:1177 SW 23RD AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-5048
Practice Address - Country:US
Practice Address - Phone:305-915-7882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
JBE-108808374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula