Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benet Fanfan

Individual provider Primary Care Nurse Practitioner · NPI 1912524091

Benet Fanfan is a Nurse Practitioner in Lake Worth, Florida. Qualified in 2020, 6 years ago. Practices with Intensive Care Experts Health Network, LLC, a 98-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

5941 Strawberry Lakes Cir
Lake Worth, FL 33463-6507
Phone: (561) 568-5728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 11007924 (FL)

Record details

NPI number1912524091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 6, 2020
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Intensive Care Experts Health Network, Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Worth