BENITEZ UROLOGY LLC NPI 1073022307

NPI Information

NPI: 1073022307
Provider Name: BENITEZ UROLOGY LLC

Doing Business As: COMPLETE CARE UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
13770 PLANTATION RD STE 3
FORT MYERS, FL
ZIP 33912
Phone: (239) 204-9855
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BENITEZ UROLOGY LLC is an urology in Fort Myers, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BENITEZ UROLOGY LLC NPI is 1073022307. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Complete Care Urology.

The provider's business location address is:

13770 PLANTATION RD STE 3
FORT MYERS, FL
ZIP 33912-460
Phone: (239) 204-9855
Fax: (239) 204-9330

The provider's authorized official is Omar Benitez .
The authorized official title is Physician and has the following contact phone number (239) 204-9855.

The enumeration date for this NPI number is 9/29/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2088F0040X	Urology	Female Pelvic Medicine and Reconstructive Surgery	ME73664	FLORIDA	No
2	208800000X	Urology		ME73664	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME73664	OTHER	FLORIDA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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