Provider Demographics
NPI:1790287985
Name:BENAVIDES, SYLVIA ALEXANDRA (FNP)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ALEXANDRA
Last Name:BENAVIDES
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:A
Other - Last Name:BENAVIDES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:2804 DAWLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-5720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4001 COLISEUM DR STE 310A
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6257
Practice Address - Country:US
Practice Address - Phone:757-736-2540
Practice Address - Fax:757-431-7771
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9368850363LF0000X
VA0024189570363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily