Benton, Maya N

Benton, Maya N is an individual health care provider with primary practice located at 4807 Us Highway 19 Ste 102 , New Port Richey FL 34652-4260. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Benton, Maya N can be contacted via phone (727) 939-2230.

Contact Information

Primary practice address
4807 Us Highway 19 Ste 102 New Port Richey FL 34652-4260
Phone: (727) 939-2230
Fax: (727) 847-5349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102942 Florida

Profile Details

NPI number 1134110307
LBN Legal business name Benton, Maya N
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Nov 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134110307 NPPES
Florida Other U3585V MEDICARE PTAN

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