VICTOR BENEZRA (NPI# 1235122896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235122896 |
| Entity Type | Individual |
| Full Name | VICTOR BENEZRA |
| Credential | MD |
| Practice Address |
129 W Hibiscus Blvd Suite A Melbourne FL 32901-3006 |
| Mailing Address |
129 W Hibiscus Blvd Ste A Melbourne FL 32901-3006 |
| Practice Telephone | 3214053000 |
| Practice Fax Number | 3217227070 |
| Mailing Telephone | 3214053000 |
| Mailing Fax Number | 3217227070 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | ME89256 | FL | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME89256 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269282100 | 05 | |
| FL | RRMD | P01164043 | 01 |
| FL | FLORIDA BLUE | 37523 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 129 W Hibiscus Blvd, Suite A, Melbourne, FL 329013006 | 3213273178 | 3217227070 |
| Street Address |
129 W HIBISCUS BLVD SUITE A |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225537731 | Benezra Gynecology | Obstetrics & Gynecology | 129 W Hibiscus Blvd, Ste A, Melbourne, FL 32901 | 2018-02-09 |
| 1578716650 | Andrew T. Zabinski | Urology | 129 W Hibiscus Blvd, Ste D, Melbourne, FL 32901 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073729240 | Ralph Zipper Md Pa | Obstetrics & Gynecology | 200 S Harbor City Blvd Ste 401, Melbourne, FL 32901-1389 | 2007-05-15 |
| 1578606869 | Osler Medical Inc | Obstetrics & Gynecology | 1208 S Harbor City Blvd, Melbourne, FL 32901-3207 | 2007-02-15 |
| 1548278245 | James L Raders | Obstetrics & Gynecology | 1421 Malabar Rd Ne Ste 245, Melbourne, FL 32907-2586 | 2006-08-04 |
| 1568436277 | Esther Rose Clayton | Obstetrics & Gynecology | 410 N Wickham Rd Ste 201, Melbourne, FL 32935-8648 | 2006-02-17 |
| 1588648687 | Carlos Mario Oliveira | Obstetrics & Gynecology | 1223 Gateway Dr Ste 1d, Melbourne, FL 32901 | 2005-12-01 |
| 1659365401 | Diane Hermanie Mainwold | Obstetrics & Gynecology | 1318 S Pine St, Melbourne, FL 32901-3117 | 2005-09-08 |
| 1023012820 | Victor Manuel Alvarez | Obstetrics & Gynecology | 2200 W Eau Gallie Blvd, Ste 202-a, Melbourne, FL 32935-3165 | 2005-06-09 |
| 1225537731 | Benezra Gynecology | Obstetrics & Gynecology | 129 W Hibiscus Blvd, Ste A, Melbourne, FL 32901 | 2018-02-09 |
| 1780812586 | Aimee Lynn Tieu | Obstetrics & Gynecology | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2009-06-30 |
| 1235123092 | Foster Women's Care | Obstetrics & Gynecology | 1318 S Pine St, Melbourne, FL 32901-3117 | 2005-09-08 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.