BENNETT PEDIATRICS, LLC - NPI NUMBER 1992131080
Provider Name: BENNETT PEDIATRICS, LLC
NPI Number: 1992131080
Clasification: Pediatrics (208000000X)
365 CITRUS TOWER BLVD
Phone Number: (352) 404-7728
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
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
||JILL P. WATSON, M.D.
||KIDSVILLE PEDIATRICS III, P.A.
||DR. ANGELES IVETTE OTERO, M.D.
||MS. CLEMENCE DENISE BECKHAM, COTA/L
||DR. MONA PRAGNESH PATEL, MD
Pediatrics (Adolescent Medicine)
||DR. MARIA THERESA SALAK BORJA, M.D.
The following information regarding the scope of practice of this provider is available:
||Entity Type Code
||Employer Identification Number EIN
||Provider Organization Name Legal Business Name
||BENNETT PEDIATRICS, LLC
||Provider First Line Business Practice Location Address
||365 CITRUS TOWER BLVD
||Provider Second Line Business Practice Location Address
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Business Practice Location Address Fax Number
||Provider Enumeration Date
||Last Update Date
||Authorized Official Last Name
||Authorized Official First Name
||Authorized Official Title or Position
||Authorized Official Telephone Number
||Healthcare Provider Taxonomy Code 1
||Provider License Number 1
||Provider License Number State Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Is Organization Subpart
||Authorized Official Name Prefix Text
||Authorized Official Credential Text
||Healthcare Provider Taxonomy Group 1
||193400000X SINGLE SPECIALTY GROUP
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This page was last updated on: 4/14/2014
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