Provider Demographics
NPI:1811938301
Name:BENTZ, ROBERT LEE II (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEE
Last Name:BENTZ
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3512
Mailing Address - Country:US
Mailing Address - Phone:561-741-3826
Mailing Address - Fax:
Practice Address - Street 1:4820 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4628
Practice Address - Country:US
Practice Address - Phone:561-689-5500
Practice Address - Fax:561-689-5504
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4392207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82736ZMedicare PIN
FLB99594Medicare UPIN