MEDICARE: JESSICA BENSHAY L. AC.

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	171100000X	Acupuncturist	3442	FL

General Provider Information

NPI Number	:	1982080917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA BENSHAY L. AC.

Provider Business Mailing Address
First Line	:	20000 E COUNTRY CLUB DR
Second Line	:	616
City	:	AVENTURA
State	:	FL
Zip	:	33180-3004
Country	:	US
Telephone Number	:	954-536-8822
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 SE 17TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2983
Country	:	US
Telephone Number	:	954-463-1777
Fax Number	:

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

Provider Enumeration Date	:	07/31/2015
Last Update Date	:	07/31/2015

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