MEDICARE: ADER BENOIT M.D.

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	207V00000X	Obstetrics & Gynecology Physician	4301094026	MI
2	208D00000X	General Practice Physician	ME118921	FL

General Provider Information

NPI Number	:	1043441751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADER BENOIT M.D.

Provider Business Mailing Address
First Line	:	9036 SW 19TH ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-7623
Country	:	US
Telephone Number	:	305-788-3971
Fax Number	:

Provider Business Practice Location Address
First Line	:	5010 HOLLYWOOD BLVD STE 100B
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6557
Country	:	US
Telephone Number	:	954-967-0028
Fax Number	:

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

Provider Enumeration Date	:	07/29/2009
Last Update Date	:	08/11/2014

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Directions to “ ADER BENOIT M.D.” Practice Location

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