MEDICARE: DALTON M BENSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	ME59864	FL
2	208M00000X	Hospitalist Physician	ME59864	FL
3	207R00000X	Internal Medicine Physician	ME59864	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	14670	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1164477618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALTON M BENSON M.D.

Provider Business Mailing Address
First Line	:	5400 PINEHURST DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-3833
Country	:	US
Telephone Number	:	352-277-5348
Fax Number	:	352-606-2857

Provider Business Practice Location Address
First Line	:	3480 DELTONA BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-2917
Country	:	US
Telephone Number	:	352-600-7900
Fax Number	:	352-600-8994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	01/07/2025

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Directions to “ DALTON M BENSON M.D.” Practice Location

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