Paul L Benfanti, M.D.

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

ME107895 Issued in FL

Practice address

625 6TH Ave S Ste 450
St Petersburg, FL 33701-4629

Phone

(727) 898-2663

Fax

(727) 568-6836

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pbenfanti188778@orlandohealth.medalliesdirect.net

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.

• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1265405179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 450",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014629",
            "telephone_number": "727-898-2663",
            "fax_number": "727-568-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 450",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014629",
            "telephone_number": "727-898-2663",
            "fax_number": "727-568-6836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3440 W Dr Martin Luther King Jr Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076223",
            "country_code": "US",
            "telephone_number": "813-879-2663",
            "fax_number": "813-872-0286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5881 Rand Blvd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342385115",
            "country_code": "US",
            "telephone_number": "727-898-2663",
            "fax_number": "727-568-6836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 Tampa Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843670",
            "country_code": "US",
            "telephone_number": "727-898-2663",
            "fax_number": "727-568-6836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4443 Rowan Rd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536198",
            "country_code": "US",
            "telephone_number": "813-879-2663",
            "fax_number": "813-872-0286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENFANTI",
        "first_name": "PAUL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME107895",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "ME107895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002665700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Kay Bender, M.S., CCC-SLP
• Andrea Benedetto
• Kylene B Benedetto, APRN
• Marisa Benedict, PA-C
• Andres Beneroso
• Christian Olof Bengtson, MD
• Corinne S Beniasians, P.A.
• Francis Gregory Beninger, MD
• Alana Benito, RD, LDN
• Jonathan Andres Benjamin

• Pediatric Orthopaedic Surgery Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.