MEDICARE: BENCHEDA SOUVERAIN

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	251J00000X	Nursing Care Agency	5252638	FL

General Provider Information

NPI Number	:	1053257634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENCHEDA SOUVERAIN

Provider Business Mailing Address
First Line	:	2133 SW 13TH ST
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2133 SW 13TH ST
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6212
Country	:	US
Telephone Number	:	754-204-7575
Fax Number	:

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

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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Directions to “ BENCHEDA SOUVERAIN ” Practice Location

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