# LOUISE M. BENVENUTO, M.D., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUISE M. BENVENUTO, M.D.
- **Other names:** ADVANCED VISION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114636412
- **Legal business name:** LOUISE M. BENVENUTO, M.D.
- **Authorized official:** DR. LOUISE MARY BENVENUTO M.D. MD (PHYSICIAN PROVIDER)
- **Authorized official phone:** (561) 214-1462

## Contact information

- **Practice address:** 2532 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33409-4006
- **Practice address phone:** (561) 712-7888
- **Practice address fax:** (561) 697-4445
- **Mailing address:** 2532 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33409-4006
- **Mailing address phone:** (561) 712-7888
- **Mailing address fax:** (561) 697-4445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2022
- **Last updated:** 11/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1992013031 | — | FL |