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Benton Pediatrics
Mental Illness Community Based Residential Treatment Facility in Gainesville, Florida
NPI 1093956526

Benton Pediatrics is a Mental Illness Community Based Residential Treatment Facility based in Gainesville, FL. Benton Pediatrics practices in Gainesville, FL. The NPI Number for Benton Pediatrics is 1093956526 and holds a License No. ME53353 (Florida).

The current practice location address for Benton Pediatrics is 5612 Nw 43Rd St, Gainesville, FL and can be reached out via phone at 352-376-4542 and via fax at 352-376-4959.

Location: 5612 Nw 43Rd St, Gainesville, FL, 32653-3332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093956526
Provider Name
Benton Pediatrics
Credential
Provider Entity Type
Organization
Address
5612 Nw 43Rd St, Gainesville, FL, 32653-3332
Phone Number
352-376-4542
Fax Number
352-376-4959
Provider Enumeration Date
03/12/2009
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
048463600 05 FL
institution
Provider Business Practice Location Address Details
Address
5612 Nw 43Rd St
City
Gainesville
State
Florida
Zip
32653-3332
Phone Number
352-376-4542
Fax Number
352-376-4959
person
Provider Business Mailing Address Details
Address
5612 Nw 43Rd St
City
Gainesville
State
Florida
Zip
32653-3332
Phone Number
352-376-4542
Fax Number
352-376-4959
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Children
Taxonomy
282NC2000X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
ME53353 (Florida)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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