Healthcare Provider Details

I. General information

NPI: 1902546252
Provider Name (Legal Business Name): GABRIELLE BENESH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 KANE CONCOURSE STE 100
BAY HARBOR ISLANDS FL
33154-2010
US

IV. Provider business mailing address

900 VILLAGE SQUARE XING STE 290
PALM BEACH GARDENS FL
33410-4552
US

V. Phone/Fax

Practice location:
  • Phone: 305-866-2177
  • Fax: 305-866-5302
Mailing address:
  • Phone: 239-313-2517
  • Fax: 239-666-9211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME181136
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: