Individual provider Active NPI

Homaxley Bento

  • Surgical Physician Assistant
  • Coral Springs, FL
National Provider Identifier
1891621397
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
24-285 Issued in FL
Practice address
3504 NW 84TH Ter
Coral Springs, FL 33065-4508
Phone
(954) 914-4606
NPI assigned
Jun 22, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X 24-285 FL Primary

Addresses

Primary practice location

3504 NW 84TH Ter
Coral Springs, FL 33065-4508

Mailing address

3504 NW 84TH Ter
Coral Springs, FL 33065-4508
Phone (954) 914-4606

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1891621397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 NW 84TH TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654508",
            "telephone_number": "954-914-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 NW 84TH TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654508",
            "telephone_number": "954-914-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTO",
        "first_name": "HOMAXLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "24-285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.