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Contact Information

BENJAMIN MORENO, MD
4543 PLEASANT HILL RD
KISSIMMEE, FL34759-3403
 Phone: 407-933-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Personal Emergency Response Attendant

146D00000X
Indicates primary specialty

NPI Profile & details for BENJAMIN MORENO · (Male)

NPI # 1548212897
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 11/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ACN326
  • PR License # 16431
  • FL Medicaid 005544500
  • FL Other ACN326 MEDICAL LICENSE NUMBER
  • PR Other 24403MO TRIPLES
Hospital affiliation(s) Not Available
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.

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