Provider Demographics
NPI:1497726962
Name:BENSIMON, JAIMY HAIM (MD)
Entity type:Individual
Prefix:MR
First Name:JAIMY
Middle Name:HAIM
Last Name:BENSIMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAIMY
Other - Middle Name:H
Other - Last Name:BENSIMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:1501 PRESIDENTIAL WAY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-1800
Mailing Address - Country:US
Mailing Address - Phone:561-686-8200
Mailing Address - Fax:561-478-7426
Practice Address - Street 1:1501 PRESIDENTIAL WAY
Practice Address - Street 2:SUITE 5
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-1800
Practice Address - Country:US
Practice Address - Phone:561-686-8200
Practice Address - Fax:561-478-7426
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E11978Medicare UPIN
FL61229Medicare ID - Type Unspecified