Healthcare Provider Details

I. General information

NPI: 1902765498
Provider Name (Legal Business Name): BENCY LASSEUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BENCY GEORGES

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 MEDICAL BLVD STE 300
NAPLES FL
34110-1497
US

IV. Provider business mailing address

PO BOX 818018 5801 POSTAL ROAD
CLEVELAND OH
44181-8018
US

V. Phone/Fax

Practice location:
  • Phone: 239-513-0053
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11049204
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9486015
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: