Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Maldonado, CSA

Individual provider Surgical Physician Assistant · NPI 1588117816

Benjamin Maldonado, CSA is a Surgical Physician Assistant in Clearwater, Florida. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
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Practice location Address checks out

29277 US Highway 19 N
Clearwater, FL 33761-2102
Phone: (832) 804-8702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4197 (MI)

Record details

NPI number1588117816
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedAugust 3, 2016
Last updated in NPPESOctober 31, 2018
Mailing address7324 Southwest Fwy Ste 1550, Houston, TX 77074-2053

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