Active NPI
Clifford J Benezra MD PA
- Internal Medicine Physician
- Hallandale Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME038105
- Legal business name
- CLIFFORD J BENEZRA MD PA
- Practice address
- 2100 E Hallandale Beach Blvd
Suite 307
Hallandale Beach, FL 33009-3765 - Phone
- (954) 454-9055
- Fax
- (954) 454-9890
- NPI assigned
- Oct 4, 2005
- Last updated
- Sep 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clifford J Benezra, MD
- Title
- President
- Phone
- (954) 454-9055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME038105 | FL | Primary |
| Internal Medicine Physician | 207R00000X | G00035039 | CA | |
| Internal Medicine Physician | 207R00000X | 437699 | WV |
Addresses
Primary practice location
2100 E Hallandale Beach Blvd
Suite 307
Hallandale Beach, FL 33009-3765
Mailing address
2100 E Hallandale Beach Blvd
Suite 307
Hallandale Beach, FL 33009-3765
Phone (954) 454-9055
National Provider Directory
National Provider DirectoryLocations
113 NE 7th St
#M
Pompano Beach, FL 33060
Phone (954) 946-9699
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Hallandale Beach, FL
- NPI 1902007669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190851200000",
"number": "1124015185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 E HALLANDALE BEACH BLVD",
"address_2": "SUITE 307",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093765",
"telephone_number": "954-454-9055",
"fax_number": "954-454-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 E HALLANDALE BEACH BLVD",
"address_2": "SUITE 307",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093765",
"telephone_number": "954-454-9055",
"fax_number": "954-454-9890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFFORD J BENEZRA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-04",
"last_updated": "2007-09-27",
"status": "A",
"authorized_official_last_name": "BENEZRA",
"authorized_official_first_name": "CLIFFORD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-454-9055",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME038105",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G00035039",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "WV",
"license": "437699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.