Provider Demographics
NPI:1295614410
Name:BENJAMIN, DENYELLA M
Entity type:Individual
Prefix:MISS
First Name:DENYELLA
Middle Name:M
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PARK CIR APT 79
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-9783
Mailing Address - Country:US
Mailing Address - Phone:863-223-6744
Mailing Address - Fax:863-223-6744
Practice Address - Street 1:2000 PARK CIR APT 79
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-9783
Practice Address - Country:US
Practice Address - Phone:863-223-6744
Practice Address - Fax:863-223-6744
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty