Florida Physicians Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME68516 Issued in FL

Legal business name

FLORIDA PHYSICIANS GROUP INC

Practice address

686 E 49TH St
Hialeah, FL 33013-1964

Phone

(305) 696-7921

Fax

(305) 688-9671

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wilfrido Benitez, MDNPI 1629026695

Title

Owner

Phone

(305) 696-7921

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Florida Physicians Group Inc

  • General Practice Physician
  • Hialeah, FL
  • NPI 1417009564

  O20100528000644

  Same enrollment

Tax ID family

Florida Physicians Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Physicians Group Inc

  • General Practice Physician
  • Hialeah, FL
  • NPI 1417009564
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wilfrido Antonio Benitez, MD

  • Family Medicine Physician
  • Hialeah, FL
  • NPI 1629026695
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1912189192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 RAVEN AVE",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331663950",
            "telephone_number": "305-696-7921",
            "fax_number": "305-688-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131964",
            "telephone_number": "305-696-7921",
            "fax_number": "305-688-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "WILFRIDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-696-7921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME68516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40272A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379024001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Florida Solutions Pharmacy
• Florida Sunrise Health Care LLC
• Florida Sunshine Health Center LLC
• Florida United Radiology LC
• Florida United Radiology, LC

• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.