Benitez Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME73664 Issued in FL

Legal business name

BENITEZ UROLOGY LLC

Doing business as

Complete Care Urology

Practice address

13770 Plantation Rd Ste 3
Fort Myers, FL 33912-4460

Phone

(239) 204-9855

Fax

(239) 204-9330

NPI assigned

Sep 29, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Omar Benitez, MD

Title

Physician

Phone

(239) 204-9855

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Complete Care Urology Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073022307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "239-204-9855",
            "fax_number": "239-204-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD STE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "239-204-9855",
            "fax_number": "239-204-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2721 Del Prado Blvd S Ste 210",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339045783",
            "country_code": "US",
            "telephone_number": "239-204-9855",
            "fax_number": "239-204-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENITEZ UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-204-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME73664",
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME73664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME73664",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Bendetowicz, MD
• Lisa Bendetowicz, LCSW
• Bendiciones Medical Center LLC
• Susan S Bengtsson, ARNP
• Nabil Benhayoun, M.D.
• Nereida Benitez, CRNA
• Brooke Benjamin, MA
• Moutaa Benmaamer, M.D.
• Michelle Benn, HIS
• Cody Michael Bennett

• Urology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.