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1588117816
BENJAMIN MALDONADO
CLEARWATER, FL
NPI
1588117816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 4197)
Enumeration Date
2016-08-03
Last Update Date
2018-10-31
Business Address
BENJAMIN MALDONADO CSA
29277 US HIGHWAY 19 N
CLEARWATER, FL 33761-2102
Phone number: 832-804-8702
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Mailing Address
BENJAMIN MALDONADO CSA
7324 SOUTHWEST FWY STE 1550
HOUSTON, TX 77074-2053
Phone number: 713-779-9800
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