Individual provider · NPI-1

George Robert Benelli, R.T, RPA

Radiologic Technologist, Vascular-Interventional Technology · Miami, FL

NPI number1083810170
StatusActive
Last updated in NPPESOct 23, 2008

Details

NPI
1083810170
Entity type
Individual (NPI-1)
Name
George Robert Benelli
Credential
R.T, RPA
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 25, 2007
Last updated
Oct 23, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471V0106X Radiologic Technologist, Vascular-Interventional Technology57646FLYes
243U00000X Radiology Practitioner Assistant–FL

Practice location

1400 Nw 12th Ave
Miami, FL 33136-1003

Phone 305-325-5916

Mailing address

9901 Sw 165th Ter
Miami, FL 33157-3264

Phone 786-427-4287 · Fax 305-325-4362

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