Larry Benovitz, MD, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0033181 Issued in FL

Legal business name

LARRY BENOVITZ, MD, PA

Practice address

1550 NE Miami Gardens Dr
Suite 403
North Miami Beach, FL 33179-4836

Phone

(305) 957-1977

NPI assigned

Jul 9, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry Benovitz, M.D.

Title

President

Phone

(305) 957-1977

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1083926828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NE MIAMI GARDENS DR",
            "address_2": "SUITE 403",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NE MIAMI GARDENS DR",
            "address_2": "SUITE 403",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794836",
            "telephone_number": "305-957-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY BENOVITZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "BENOVITZ",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-957-1977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0033181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065039100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.