Organization
LARRY BENOVITZ, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BENOVITZ M.D. (PRESIDENT)
(305) 957-1977
Entity
Organization
Contact information
Practice address
1550 NE MIAMI GARDENS DR, SUITE 403, NORTH MIAMI BEACH, FL 33179-4836
(305) 957-1977
Mailing address
1550 NE MIAMI GARDENS DR, SUITE 403, NORTH MIAMI BEACH, FL 33179-4836
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0033181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065039100
—
FL
Enumeration date
07/09/2010
Last updated
07/09/2010
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