Individual provider Active NPI

Benjamin L Davis, D.O.

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1962852251
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS16659 Issued in FL
Practice address
235 E Princeton St Ste 200
Orlando, FL 32804-5555
Phone
(407) 303-1444
Fax
(407) 303-1446
NPI assigned
Jun 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OT017172 PA
Obstetrics & Gynecology Physician 207V00000X OS16659 FL Primary

Addresses

Primary practice location

235 E Princeton St Ste 200
Orlando, FL 32804-5555

Mailing address

235 E Princeton St Ste 200
Orlando, FL 32804-5555
Phone (407) 303-1444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200710003066 FL Practitioner - Obstetrics/Gynecology 6608299425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatrix Medical Group of Florida IncGroup PAC ID 4486634417, 37 clinicians

Practice addresses (Care Compare)

1901 SW 172 Ave
Miramar, FL 33029-5592
Phone (954) 538-5000

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 974-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16659FLMDObstetrics & Gynecology Physician
OT017172PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 31, 2020 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 31, 2020 Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 452-2107

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

235 E Princeton St
Ste 200
Orlando, FL 32804
Phone (407) 303-1444

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1962852251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E PRINCETON ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045555",
            "telephone_number": "407-303-1444",
            "fax_number": "407-303-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PRINCETON ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045555",
            "telephone_number": "407-303-1444",
            "fax_number": "407-303-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BENJAMIN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OT017172",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS16659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.