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DR. BENJAMIN MARK SHORE D.O. NPI 1619142957


NPI Information

NPI: 1619142957
Provider Name: DR. BENJAMIN MARK SHORE, D.O.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
2532 REGATTA AVE
SUNSET ISLAND 2
MIAMI BEACH, FL
ZIP 33140
Phone: (305) 532-2532
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DR. Benjamin Mark Shore, D.O. is an emergency medicine in Miami Beach, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Benjamin Mark Shore, D.O. NPI is 1619142957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2532 REGATTA AVE
SUNSET ISLAND 2
MIAMI BEACH, FL
ZIP 33140-235
Phone: (305) 532-2532
Fax: (305) 532-9330

The enumeration date for this NPI number is 4/28/2008 and was last updated on 4/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsOS-0003915FLORIDANo
2207P00000XEmergency MedicineOS-0003915FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D60631MEDICARE UPINFLORIDA
206625429900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.