NPIMap

Donald A Behnke, M.D.

Individual provider Active NPI Internal Medicine Physician · Sun City Center, FL

NPI 1104884980 · NPPES record last updated Oct 11, 2018

Key facts

NPI
1104884980
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
ME0038672 (FL)
Practice address
1901 Haverford Ave
Suite 101
Sun City Center, FL 33573-5200
Phone
(813) 634-9284
Fax
(813) 634-4595
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0038672FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ante Rudez MD PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0038672 FL Yes

Addresses

Primary practice location

1901 Haverford Ave
Suite 101
Sun City Center, FL 33573-5200

Mailing address

1901 Haverford Ave
Ste 101
Sun City Center, FL 33573-5200
Phone (813) 634-9284

Other providers in Sun City Center, FL

All providers in Sun City Center, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.