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
Phone: (321) 405-3000
Fax: (321) 722-7070
Website:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235122896 | NPPES |
Florida | Other | 37523 | FLORIDA BLUE |
Florida | MEDICAID | 269282100 | FLORIDA BLUE |
Florida | Other | P01164043 | FLORIDA BLUE |
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