BENNETT PEDIATRICS, LLC - NPI NUMBER 1992131080

Summary

Provider Name: BENNETT PEDIATRICS, LLC

NPI Number: 1992131080

Clasification: Pediatrics (208000000X)

Address:
365 CITRUS TOWER BLVD
SUITE 104
CLERMONT, FL
ZIP 34711

Phone Number: (352) 404-7728



Detailed Information

BENNETT PEDIATRICS, LLC is a pediatrician in Clermont, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. The assigned NPI number for this provider is 1992131080 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

365 CITRUS TOWER BLVD
SUITE 104
CLERMONT, FL
ZIP 34711-532
Phone: (352) 404-7728
Fax: (352) 404-7724

The provider's authorized official is Lorna Bennett .
The authorized official title is Owner/pediatrician and has the following contact phone number (352) 978-3182.

The enumeration date for this NPI number is 9/19/2013 and was last updated on 11/14/2013.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1285675330 DR. LORNA ODETTE BENNETT, MD
Pediatrics
1063483170 DR. MONA PRAGNESH PATEL, MD
Pediatrics (Adolescent Medicine)
1124133343 DR. ANGELES IVETTE OTERO, M.D.
Pediatrics
1093705402 JILL P. WATSON, M.D.
Pediatrics
1174924757 SUMTER PEDIATRICS PA
Pediatrics (Adolescent Medicine)
1275703332 CLERMONT PEDIATRICS
Pediatrics
1215901723 KIDSVILLE PEDIATRICS III, P.A.
Pediatrics





Taxonomy Codes

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
1 208000000X Pediatrics ME91225 FL Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1992131080 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name BENNETT PEDIATRICS, LLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 365 CITRUS TOWER BLVD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address SUITE 104 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name CLERMONT The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 347116532 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 3524047728 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 3524047724 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 9/19/2013 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 11/14/2013 The date that a record was last updated or changed.
15 Authorized Official Last Name BENNETT The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name LORNA The first name of the authorized official.
17 Authorized Official Title or Position OWNER/PEDIATRICIAN The title or position of the authorized official.
18 Authorized Official Telephone Number 3529783182 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 208000000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Provider License Number 1 ME91225 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
21 Provider License Number State Code 1 FL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Organization Subpart N
24 Authorized Official Name Prefix Text DR.
25 Authorized Official Credential Text M.D.,
26 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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.