| Doctor Name: | DR. RICHARD SCOTT BENJAMIN |
| NPI Number: | 1255338687 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | PO2698 |
| Business Practice Address: | 749 Cr 466 The Summit Lady Lake, FL - 321596340 |
| Business Phone Number: | 3522592988 |
| Business Fax Number: | 3523502983 |
| Mailing Address: | 749 Cr 466, The Summit LADY LAKE |
| State: | FL |
| Postal Code: | 321596340 |
| Phone Number: | 3522599288 |
| Fax Number: | 3523502983 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO2698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |