Bennett, Johnique C

Bennett, Johnique C is an sole proprietor health care provider with primary practice located at 2300 Park Ave Ste 205 , Orange Park FL 32073. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bennett, Johnique C can be contacted via phone (904) 272-0384.

Contact Information

Primary practice address
2300 Park Ave Ste 205 Orange Park FL 32073
Phone: (904) 272-0384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME136292 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME136292 Florida

Profile Details

NPI number 1538519640
LBN Legal business name Bennett, Johnique C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2016
Last updated Nov 19th, 2024 - about 2 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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