Provider Demographics
NPI:1134393028
Name:BENEDETTO, PAUL XAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:XAVIER
Last Name:BENEDETTO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2221 GARRETT RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-1101
Mailing Address - Country:US
Mailing Address - Phone:610-623-5885
Mailing Address - Fax:
Practice Address - Street 1:5701 N. UNIVERSITY DR.
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:954-659-5264
Practice Address - Fax:954-659-5260
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2024-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME143368207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery