Provider Demographics
NPI:1023684859
Name:BENITEZ, YUNIET (CNA)
Entity type:Individual
Prefix:MS
First Name:YUNIET
Middle Name:
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 S MOON AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5110
Mailing Address - Country:US
Mailing Address - Phone:813-409-2226
Mailing Address - Fax:
Practice Address - Street 1:130 S MOON AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5110
Practice Address - Country:US
Practice Address - Phone:813-409-2226
Practice Address - Fax:813-409-2226
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health