Benezra, Victor

Benezra, Victor is an individual health care provider with primary practice located at 129 W Hibiscus Blvd Suite A, Melbourne FL 32901-3006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Benezra, Victor can be contacted via phone (321) 405-3000.

Contact Information

Primary practice address
129 W Hibiscus Blvd Suite A Melbourne FL 32901-3006
Fax: (321) 722-7070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME89256 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME89256 Florida

Profile Details

NPI number 1235122896
LBN Legal business name Benezra, Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Nov 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235122896 NPPES
Florida Other 37523 FLORIDA BLUE
Florida MEDICAID 269282100 FLORIDA BLUE
Florida Other P01164043 FLORIDA BLUE

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