MEDICARE: ALICIA BENJAMIN MD

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	207Q00000X	Family Medicine Physician	ME156296	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134697592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA BENJAMIN MD

Provider Business Mailing Address
First Line	:	9401 SOUTHWEST STATE ROAD 200
Second Line	:	BUILDING 200
City	:	OCALA
State	:	FL
Zip	:	34481
Country	:	US
Telephone Number	:	352-401-8660
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N BAY ST
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-2941
Country	:	US
Telephone Number	:	352-589-6367
Fax Number	:

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

Provider Enumeration Date	:	11/05/2018
Last Update Date	:	07/10/2025

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Directions to “ ALICIA BENJAMIN MD” Practice Location

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