| Organization Name: | RICHARD S BENJAMIN DPM PA |
| NPI Number: | 1326242637 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD SCOTT BENJAMIN (OWNER) |
| Mailing Address: | 10900 Se 174th Place Summerfield |
| State: | FL US |
| Postal Code: | 344918984 |
| Phone Number: | 3522459562 |
| Fax Number: | 3522459563 |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |