MEDICARE: DR. JOAN R BENZ 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	207Q00000X	Family Medicine Physician	ME84720	FL
2	207Q00000X	Family Medicine Physician	LL752	FL

General Provider Information

NPI Number	:	1992969976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAN R BENZ MD

Provider Business Mailing Address
First Line	:	2355 STANFORD CT
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-4813
Country	:	US
Telephone Number	:	239-566-7425
Fax Number	:	239-593-3430

Provider Business Practice Location Address
First Line	:	2355 STANFORD CT UNIT 701
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-4813
Country	:	US
Telephone Number	:	239-566-7425
Fax Number	:	239-593-3430

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

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	07/21/2022

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