Provider Demographics
NPI:1942521455
Name:BENSON, SCARLET (MD)
Entity type:Individual
Prefix:DR
First Name:SCARLET
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SCARLET
Other - Middle Name:
Other - Last Name:REICHENBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1716 NE 16TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1366
Mailing Address - Country:US
Mailing Address - Phone:425-232-9687
Mailing Address - Fax:
Practice Address - Street 1:2021 E COMMERCIAL BLVD STE 201
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3754
Practice Address - Country:US
Practice Address - Phone:954-489-7772
Practice Address - Fax:954-489-7661
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131289207R00000X
NY271124207P00000X
FL131289207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03656420Medicaid