Healthcare Provider Details
I. General information
NPI: 1245154392
Provider Name (Legal Business Name): INSTITUTE FOR RESEARCH AND DIAGNOSTIC RADIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8756 BOYNTON BEACH BLVD STE 150
BOYNTON BEACH FL
33472-4442
US
IV. Provider business mailing address
8756 BOYNTON BEACH BLVD STE 150
BOYNTON BEACH FL
33472-4442
US
V. Phone/Fax
- Phone: 561-910-4723
- Fax: 561-960-4201
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0700X |
| Taxonomy | Neuroradiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085N0904X |
| Taxonomy | Nuclear Radiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DELBERT
BENZENHAFER
Title or Position: PRESIDENT, CMO
Credential: MD
Phone: 561-910-4723