Individual ProviderAntonio BeneventoStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607(843) 692-1000(916) 990-4828PECOS EnrollmentBased on the most recent information from CMS, provider Antonio Benevento does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1245032341Provider TypeIndividualFull NameBenevento, AntonioSole ProprietorNoEnumeration Date3/27/2025Last Updated3/27/2025Contact InformationPractice LocationPractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607Phone(843) 692-1000FaxUnlisted FaxMailing LocationMailing Address534 Iris Dr, Florence, SC 29501-5722Phone(916) 990-4828FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer