Provider Demographics
NPI:1083439053
Name:BENGICARE
Entity type:Organization
Organization Name:BENGICARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENGIO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-998-8539
Mailing Address - Street 1:3330 N 65TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2003
Mailing Address - Country:US
Mailing Address - Phone:954-889-8539
Mailing Address - Fax:
Practice Address - Street 1:3330 N 65TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-2003
Practice Address - Country:US
Practice Address - Phone:954-889-8539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care