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BENEZRA GYNECOLOGY LLC
NPI 1225537731
Obstetrics & Gynecology - Gynecology in Melbourne, FL

Active since February 09, 2018CLIA 10D2155879 · Waiver
129 W HIBISCUS BLVD, STE A, MELBOURNE, FL 32901(321) 405-3000(321) 722-7070 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2018, Nov 13, 2018, Sep 1, 2018 (3 updates tracked since 2018).

About Benezra Gynecology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENEZRA GYNECOLOGY LLC (NPI 1225537731) is a healthcare organization registered as a gynecology in Melbourne, Florida and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Victor Benezra, Physician, as its authorized official.

NPPES Registry Identity

NPI1225537731
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameBENEZRA GYNECOLOGY
Location Address129 W HIBISCUS BLVD, STE AMelbourne, FL 32901
Mailing Address129 W Hibiscus Boulevard Suite AMelbourne, FL 32901-3006 · (321) 405-3000 · Fax (321) 722-7070
Phone(321) 405-3000
Fax(321) 722-7070
Organization SubpartNo
Authorized OfficialVictor BenezraPhysician · (305) 975-7407
Enumeration DateFebruary 9, 2018
Last NPPES UpdateNovember 30, 20183 updates tracked since enumeration
✔ NPI 1225537731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME89256
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
129 W HIBISCUS BLVD, Melbourne, FL 32901
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Other Names 2

Doing Business AsBenezra Gynecology Llc
Doing Business AsBenezra Women's Care, Llc

Other Identifiers 1

Other1QMNMFL · Florida Blue

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2155879

Benezra Gynecology LLC · Melbourne, FL
Active · expires Oct 7, 2026
CLIA Number10D2155879
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorVictor Benezra
Laboratory Phone(321) 405-3000
Laboratory LocationBenezra Gynecology LLC129 W Hibiscus Blvd Ste A, Melbourne, FL 32901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR BENEZRA MD
Obstetrics & Gynecology (Gynecology)
129 W HIBISCUS BLVD, SUITE A
MELBOURNE, FL 32901
Brevard County (321) 405-3000
DR. ANDREW T. ZABINSKI M.D.
Urology
129 W HIBISCUS BLVD, STE D
MELBOURNE, FL 32901
Brevard County (321) 725-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benezra Gynecology's NPI number?

The NPI number for Benezra Gynecology is 1225537731. It was assigned to this organization in the NPPES registry on February 9, 2018. The provider is doing business as Benezra Gynecology LLC and Benezra Women's Care, LLC.

Where is Benezra Gynecology located?

Benezra Gynecology is located at 129 W Hibiscus Blvd Ste A, Melbourne, FL 32901. The listed phone number is (321) 405-3000.

What is Benezra Gynecology's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Benezra Gynecology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2155879) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Benezra Gynecology was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.