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BENTON PEDIATRICS NPI 1093956526


NPI Information

NPI: 1093956526
Provider Name: BENTON PEDIATRICS
Classification: General Acute Care Hospital - 282NC2000X
Entity Type: Organization

Specialization: Children

CLIA Number: 10D0271843

Address:
5612 NW 43RD ST
GAINESVILLE, FL
ZIP 32653
Phone: (352) 376-4542
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BENTON PEDIATRICS is a children general acute care hospital in Gainesville, FL. BENTON PEDIATRICS NPI is 1093956526. The provider is registered as an organization entity type.

The provider's business location address is:

5612 NW 43RD ST
GAINESVILLE, FL
ZIP 32653-332
Phone: (352) 376-4542
Fax: (352) 376-4959

The provider's authorized official is Thomas Bartberger Benton .
The authorized official title is Owner and has the following contact phone number (352) 376-4542.

The CLIA number assigned to this NPI record is 10D0271843 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/12/2009 and was last updated on 3/12/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282NC2000XGeneral Acute Care HospitalChildrenME53353FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1048463600MEDICAIDFLORIDA

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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