MEDICARE: DR. BENJAMIN M PIPERNO 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	208600000X	Surgery Physician	ME92324	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00246913	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	296765	OTHER	AVMED
2	3200862	OTHER	CIGNA
3	03438	OTHER	BCBS FL
5	7340021	OTHER	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144287459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN M PIPERNO MD

Provider Business Mailing Address
First Line	:	11945 SAN JOSE BLVD
Second Line	:	STE 300
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-1627
Country	:	US
Telephone Number	:	904-396-1725
Fax Number	:	904-396-4893

Provider Business Practice Location Address
First Line	:	14540 OLD SAINT AUGUSTINE RD
Second Line	:	SUITE 2571
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-7418
Country	:	US
Telephone Number	:	904-886-2251
Fax Number	:	904-886-7151

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

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	06/23/2020

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Directions to “ DR. BENJAMIN M PIPERNO MD” Practice Location

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