MEDICARE: BENJAMIN REINHERZ DO 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	207WX0107X	Retina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number	:	1417671850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENJAMIN REINHERZ DO PA

Provider Business Mailing Address
First Line	:	11900 BISCAYNE BLVD STE 806
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2726
Country	:	US
Telephone Number	:	305-830-4115
Fax Number	:	305-697-9717

Provider Business Practice Location Address
First Line	:	11900 BISCAYNE BLVD STE 806
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2726
Country	:	US
Telephone Number	:	305-830-4115
Fax Number	:	305-697-9717

Authorized Official
Title or Position	:	OWNER
Name	:	BENJAMIN REINHERZ
Credential	:	DO
Telephone Number	:	305-830-4115

Provider Enumeration Date	:	09/29/2022
Last Update Date	:	03/22/2023

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