Individual
CLIFFORD J BENEZRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD, STE 307, HALLANDALE BEACH, FL 33009-3765
(954) 454-9925
(954) 454-9890
Mailing address
2100 E HALLANDALE BEACH BLVD, STE 307, HALLANDALE BEACH, FL 33009-3765
(954) 454-9925
(954) 454-9890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
437699
WV
207R00000X
Internal Medicine Physician
G00035039
CA
207R00000X
Internal Medicine Physician
Primary
ME038105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067531800
—
FL
01
—
D02547
OTHER
FL
Enumeration date
05/30/2007
Last updated
03/16/2015
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