Dr. Nicholas Bencomo, MD
Emergency Medicine in Brooksville, FL. Individual provider (NPI-1).
NPI number1821550773
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1821550773
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas Bencomo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2019
- Certification date
- Jul 11, 2022
- Last updated
- Dec 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | ME155501 | FL | Yes |
Practice location
11375 Cortez BlvdBrooksville, FL 34613-5409
Phone 352-592-2753
Mailing address
11375 Cortez BlvdBrooksville, FL 34613-5409
Phone 352-592-2753
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