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

Mr. Maxime Benlulu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124683404

Mr. Maxime Benlulu is a Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone: (954) 771-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9114191 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124683404
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address9160 Southampton Pl, Boca Raton, FL 33434-2859

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