Organization
BENEZRA GYNECOLOGY
Active
Other names
Benezra Women's Care, LLC, Benezra Gynecology LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR BENEZRA MD (PHYSICIAN)
(305) 975-7407
Entity
Organization
Contact information
Practice address
129 W HIBISCUS BLVD, STE A, MELBOURNE, FL 32901
(321) 405-3000
(321) 722-7070
Mailing address
129 W HIBISCUS BOULEVARD SUITE A, MELBOURNE, FL 32901-3006
(321) 405-3000
(321) 722-7070
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME89256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1QMNM
FLORIDA BLUE
FL
Enumeration date
02/09/2018
Last updated
11/30/2018
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