Provider Demographics
NPI:1568569523
Name:BENAIM, MONROE NELSON (MD)
Entity Type:Individual
Prefix:
First Name:MONROE
Middle Name:NELSON
Last Name:BENAIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 W INDIANTOWN RD STE A201
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6839
Mailing Address - Country:US
Mailing Address - Phone:561-747-7777
Mailing Address - Fax:561-575-1921
Practice Address - Street 1:1015 W INDIANTOWN RD STE A201
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6839
Practice Address - Country:US
Practice Address - Phone:561-747-7777
Practice Address - Fax:561-575-1921
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME27660207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B75945Medicare UPIN
FL50887Medicare ID - Type Unspecified
FL6283250001Medicare NSC