Benjamin P Marquez MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0070788 Issued in FL

Legal business name

BENJAMIN P MARQUEZ MD PA

Practice address

953 Del Webb Blvd East
Sun City Center, FL 33573-6669

Phone

(813) 634-6880

Fax

(813) 634-6833

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Panglao Marquez, M.D.

Title

Owner

Phone

(813) 634-6880

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Marquez Medical Clinic Doing business as

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1508905407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 DEL WEBB BLVD EAST",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736669",
            "telephone_number": "813-634-6880",
            "fax_number": "813-634-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 DEL WEBB BLVD EAST",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736669",
            "telephone_number": "813-634-6880",
            "fax_number": "813-634-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN P MARQUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "PANGLAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-634-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0070788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31492",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251410901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquez Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Donald A Behnke, M.D.
• Rahul Prakash Bhandari, M.D.
• Tiffany A Bishop, PTA
• Andrew Bloomfield, M.D.
• Victoria Alice Boisselle, PA-C
• Anthony Michael Bonacci, PT, DPT

• Family Medicine Physician in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.