MEDICARE: CESAR L BENARROCHE MD PA

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	101YP2500X	Professional Counselor	ME 0048762	FL

General Provider Information

NPI Number	:	1164423315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CESAR L BENARROCHE MD PA

Provider Business Mailing Address
First Line	:	7301A W PALMETTO PARK RD
Second Line	:	SUITE 106-C
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3409
Country	:	US
Telephone Number	:	561-391-4669
Fax Number	:	561-391-1815

Provider Business Practice Location Address
First Line	:	7301A W PALMETTO PARK RD
Second Line	:	SUITE 106-C
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3409
Country	:	US
Telephone Number	:	561-391-4669
Fax Number	:	561-391-1815

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CESAR L BENARROCHE
Credential	:	MD
Telephone Number	:	561-391-4669

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/22/2020

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