Bennett, Donna Marie

Bennett, Donna Marie is an individual health care provider with primary practice located at 13340 Metro Pkwy Ste 400 , Fort Myers FL 33966-4818. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Pharmacy Service Providers / Pharmacist. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bennett, Donna Marie can be contacted via phone (239) 343-1105.

Contact Information

Primary practice address
13340 Metro Pkwy Ste 400 Fort Myers FL 33966-4818
Phone: (239) 343-1105
Fax: (239) 343-1106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9106085 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003193 Michigan
Pharmacy Service Providers / Pharmacist 183500000X 5302029356 Michigan

Profile Details

NPI number 1841343985
LBN Legal business name Bennett, Donna Marie
Credentials PA-C, PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2007
Last updated Mar 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841343985 NPPES
Florida MEDICAID 004777100

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