Provider Demographics
NPI:1750744819
Name:BENZENHAFER, DELBERT AUGUST III (MD)
Entity type:Individual
Prefix:
First Name:DELBERT
Middle Name:AUGUST
Last Name:BENZENHAFER
Suffix:III
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 1:1554 SW 6TH TER
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-7007
Mailing Address - Country:US
Mailing Address - Phone:954-254-8074
Mailing Address - Fax:
Practice Address - Street 1:7180 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2916
Practice Address - Country:US
Practice Address - Phone:954-580-2780
Practice Address - Fax:954-580-2790
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1571312085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology