Provider Demographics
NPI:1770954844
Name:BENITEZ, ALINA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ALINA
Other - Middle Name:
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1035 PRIMERA BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746
Mailing Address - Country:US
Mailing Address - Phone:407-333-3040
Mailing Address - Fax:407-333-3496
Practice Address - Street 1:1035 PRIMERA BOULEVARD
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-333-3040
Practice Address - Fax:407-333-3496
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9264955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily