| Doctor Name: | MICHAEL ANTHONY BENINATO |
| NPI Number: | 1043286388 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPAS, PA-C |
| License Number: | PA200009 |
| Business Practice Address: | 1150 Robert Blvd Suite 240 Slidell, LA - 704582004 |
| Business Phone Number: | 9856463662 |
| Business Fax Number: | 9856463691 |
| Mailing Address: | 1150 Robert Blvd, Suite 240 SLIDELL |
| State: | LA |
| Postal Code: | 704582004 |
| Phone Number: | 9856463662 |
| Fax Number: | 9856463691 |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 07/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA200009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |