National Provider Identifier Database

BENJAMIN MORENO, MD – NPI #1548212897
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

BENJAMIN MORENO, MD
4543 PLEASANT HILL RD
KISSIMMEE, FL34759-3403
Phone: 407-933-7900
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Personal Emergency Response Attendant 146D00000X

* Indicates primary specialty

NPI Profile & details for BENJAMIN MORENO

NPI Number 1548212897
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 11/23/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: ACN326
  • PR License #: 16431
  • FL Medicaid: 005544500
  • FL Other: ACN326 MEDICAL LICENSE NUMBER
  • PR Other: 24403MO TRIPLES
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BENJAMIN MORENO, MD

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