DR. NORBERTO BENITEZ (NPI# 1700879772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700879772 |
Entity Type | Individual |
Full Name | DR. NORBERTO BENITEZ |
Credential | M.D. |
Practice Address |
274 3rd Ave S Jacksonville Beach FL 32250-6727 |
Mailing Address |
309 Plantation Cir Ponte Vedra Beach FL 32082-3927 |
Practice Telephone | 9042493373 |
Practice Fax Number | 9042493375 |
Mailing Telephone | 9042731996 |
Mailing Fax Number | 9042800371 |
Enumeration Date | 2005-08-25 |
Last Update Date | 2011-09-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | ME44373 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 069161500 | 05 |
Street Address |
274 3RD AVE S |
City | JACKSONVILLE BEACH |
State | FL |
Zip Code | 32250-6727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558354530 | Katrina Cinca | Nurse Practitioner | 274 3rd Ave S, Jacksonville Beach, FL 32250-6727 | 2005-08-25 |
1740798222 | Lisa Gawronski | Nurse Practitioner | 274 3rd Ave S, Jacksonville Beach, FL 32250-6727 | 2018-01-18 |
1780994012 | Meredith Hunter Jones | Nurse Practitioner | 274 3rd Ave S, Jacksonville Beach, FL 32250-6727 | 2010-10-20 |
1851349039 | Edmund R Weise | Pediatrics | 274 3rd Ave S, Jacksonville Beach, FL 32250-6727 | 2006-05-04 |
1770576746 | Lourdes Palomino-pitocchi | Pediatrics | 274 3rd Ave S, Jacksonville Beach, FL 32250-6727 | 2005-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
Find all providers in zip 32250 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417169152 | Raed Assar | Pediatrics | 1923 Eastern Dr, Jacksonville Beach, FL 32250-3719 | 2007-05-04 |
1366462103 | 24/7 Pediatric Care Centers Inc. | Pediatrics | 274 Third Avenue S., Jacksonville Beach, FL 32250 | 2006-07-21 |
1922045640 | Maria E. Moutinho | Pediatrics | 4300 S Beach Pkwy Apt 4103, Jacksonville Beach, FL 32250-8183 | 2006-06-01 |
1235189861 | Laura Nance Beverly | Pediatrics | 1522 Penman Rd., Jacksonville Beach, FL 32250 | 2006-05-12 |
1023014099 | Rebecca Cooper | Pediatrics | 333 4th Ave N, Jacksonville Beach, FL 32250-5621 | 2005-06-24 |
1508488263 | Maxvax, LLC | Pediatrics | 320 1st St N Ste 101, Jacksonville Beach, FL 32250-6956 | 2020-05-15 |
1538790233 | Pediatric Associates of Northeast Florida, LLC | Pediatrics | 333 4th Ave N, Jacksonville Beach, FL 32250-5621 | 2020-01-31 |
1780874180 | Joanna Lynn Walker | Pediatrics | 333 4th Ave N, Jacksonville Beach, FL 32250-5621 | 2007-07-31 |
1356458228 | Oceanside Pediatrics | Pediatrics | 1370 13th Ave S, Ste 216, Jacksonville Beach, FL 32250-3230 | 2006-08-24 |
1730296765 | Ann Vonthron | Pediatrics | 1370 13th Ave S, Ste 216, Jacksonville Beach, FL 32250-3230 | 2006-08-24 |
Find all providers in JACKSONVILLE BEACH |
City | JACKSONVILLE BEACH |
Zip Code | 32250 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.