MEDICARE: DR. STEPHANIE BENMERGUI OD

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	152W00000X	Optometrist	OPC6858	FL

General Provider Information

NPI Number	:	1427913797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE BENMERGUI OD

Provider Business Mailing Address
First Line	:	500 S FEDERAL HWY # 4404
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-6435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 S FEDERAL HWY # 4404
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-6435
Country	:	US
Telephone Number	:	786-444-4525
Fax Number	:

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

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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