Bennett, Jennifer L

Bennett, Jennifer L is an individual health care provider with primary practice located at 509 S Armenia Ave Ste 200 , Tampa FL 33609-3395. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Bennett, Jennifer L can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
509 S Armenia Ave Ste 200 Tampa FL 33609-3395
Phone: (813) 974-2201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME69510 Florida

Profile Details

NPI number 1063493922
LBN Legal business name Bennett, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 30th, 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 1063493922 NPPES
Florida MEDICAID 272137600
Florida Other 46820

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