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1588754113

NPI Code Detail

MEDICARE: JOEL S. BENTZ MD

MEDICARE: JOEL S. BENTZ MD

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	207ZC0500X	Cytopathology Physician	185037-1205	UT
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	41457	AZ
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	13053	NV

General Provider Information

NPI Number	:	1588754113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL S. BENTZ MD

Provider Business Mailing Address
First Line	:	11025 RCA CENTER DR STE 300
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4269
Country	:	US
Telephone Number	:	561-383-3820
Fax Number	:	855-369-2450

Provider Business Practice Location Address
First Line	:	7455 W WASHINGTON AVE STE 301
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-4340
Country	:	US
Telephone Number	:	877-562-5227
Fax Number	:	702-938-9954

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	05/01/2018

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Directions to “ JOEL S. BENTZ MD” Practice Location

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