Provider Demographics
NPI:1700028099
Name:BENITEZ, NIXALYZ ORTIZ (FNP - BC)
Entity type:Individual
Prefix:
First Name:NIXALYZ
Middle Name:ORTIZ
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:FNP - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12843 WELLINGTON PRESERVE BLVD
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-6033
Mailing Address - Country:US
Mailing Address - Phone:305-962-6559
Mailing Address - Fax:
Practice Address - Street 1:9868 S STATE ROAD 7 STE 305
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4475
Practice Address - Country:US
Practice Address - Phone:561-369-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR144887363LF0000X
FLARNP9417992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily