MEDICARE: GIANCARLO L BENNARDO

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	367H00000X	Anesthesiologist Assistant

General Provider Information

NPI Number	:	1942168752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIANCARLO L BENNARDO

Provider Business Mailing Address
First Line	:	5186 BUCHANAN RD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-4212
Country	:	US
Telephone Number	:	561-843-1577
Fax Number	:

Provider Business Practice Location Address
First Line	:	4725 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-771-8000
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

Similar Medicare Providers

1902803067 — DR. RICHARD M LUCERI M.D.
Practice Location Address:

4725 N FEDERAL HWY , JIM MORAN HEART CENTER, SUITE 502
FORT LAUDERDALE, FL
33308-4603

Practice Phone: 954-772-1080
Practice Fax: 954-772-7306

1316944473 — DR. PHILIP ZILO M.D.
Practice Location Address:

4725 NORTH FEDERAL HIGHWAY , SUITE 502
FT. LAUDERDALE, FL
33308-4603

Practice Phone: 954-772-1080
Practice Fax: 954-772-7306

1740287804 — USARRHYTHMIA OF FLORIDA INC
Practice Location Address:

4725 N FEDERAL HWY , JIM MORAN HEART CENTER, SUITE 502
FORT LAUDERDALE, FL
33308-4603

Practice Phone: 954-772-1080
Practice Fax: 954-772-7306

1619974342 — DR. DANIEL NATHAN WEISS M.D.
Practice Location Address:

4725 N FEDERAL HWY , JIM MORAN HEART CENTER, SUITE 502
FORT LAUDERDALE, FL
33308-4603

Practice Phone: 954-772-1080
Practice Fax: 954-772-7306

1790784049 — IMAD FOUAD TABRY M.D.
Practice Location Address:

4725 N FEDERAL HWY
FT LAUDERDALE, FL
33308-4603

Practice Phone: 954-267-6770
Practice Fax: 954-267-6769

1760477111 — DR. NEETA MITROO MD
Practice Location Address:

4725 N. FEDERAL HIGHWAY
FORT LAUDERDALE, FL
33308-4603

Practice Phone: 954-771-8000
Practice Fax: 954-776-3270

Directions to “ GIANCARLO L BENNARDO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.