Provider Demographics
NPI:1205897303
Name:TAISENCHOY-BENT, FERN FIONA (MD)
Entity type:Individual
Prefix:DR
First Name:FERN
Middle Name:FIONA
Last Name:TAISENCHOY-BENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FERN
Other - Middle Name:FIONA
Other - Last Name:TAISENCHOY-BENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2964 N STATE ROAD 7 STE 320
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5715
Mailing Address - Country:US
Mailing Address - Phone:954-796-0111
Mailing Address - Fax:954-796-0120
Practice Address - Street 1:2964 N STATE ROAD 7 STE 320
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5715
Practice Address - Country:US
Practice Address - Phone:954-796-0111
Practice Address - Fax:954-796-0120
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55469207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL070104101Medicaid
FL12759Medicare ID - Type Unspecified
FL070104101Medicaid