Feliciano, Benigno

Feliciano, Benigno is an individual health care provider with primary practice located at 1109 Bryn Mawr Ave , Lake Wales FL 33853-4333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Feliciano, Benigno can be contacted via phone (863) 679-2984.

Contact Information

Primary practice address
1109 Bryn Mawr Ave Lake Wales FL 33853-4333
Phone: (863) 679-2984
Fax: (863) 676-2086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME87151 Florida

Profile Details

NPI number 1689657959
LBN Legal business name Feliciano, Benigno
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Mar 15th, 2016 - about 10 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 1689657959 NPPES
Florida MEDICAID 270356400

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