Provider Demographics
NPI:1942521455
Name:BENSON, SCARLET (MD)
Entity Type:Individual
Prefix:DR
First Name:SCARLET
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SCARLET
Other - Middle Name:
Other - Last Name:REICHENBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1061 MICHIGAN AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-4830
Mailing Address - Country:US
Mailing Address - Phone:425-232-9687
Mailing Address - Fax:
Practice Address - Street 1:20900 BISCAYNE BLVD DEPT OF
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1495
Practice Address - Country:US
Practice Address - Phone:305-682-7292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA244313207P00000X
NY271124207P00000X
FL131289207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03656420Medicaid