Juan Carlos Benavides, PA
Physician Assistant in Clermont, FL. Individual provider (NPI-1).
NPI number1881480077
StatusActive
Last updated in NPPESMay 15, 2026
Details
- NPI
- 1881480077
- Entity type
- Individual (NPI-1)
- Name
- Juan Carlos Benavides
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2025
- Certification date
- May 15, 2026
- Last updated
- May 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PACN116 | FL | Yes |
Other names
- Juan Carlos Benavides (Former Name)
Practice location
245 Citrus Tower Blvd Ste 201Clermont, FL 34711-1907
Phone 352-708-3021
Mailing address
245 Citrus Tower Blvd Ste 201Clermont, FL 34711-1907
Phone 386-215-0973
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 36 Physician Assistant providers in Clermont · All 2,827 providers in Clermont
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