Bennett, Roderick Neal

Bennett, Roderick Neal is an individual health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bennett, Roderick Neal can be contacted via phone (386) 254-4000.

Contact Information

Primary practice address
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709
Phone: (386) 254-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200060 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME98577 Florida

Profile Details

NPI number 1629166137
LBN Legal business name Bennett, Roderick Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Nov 18th, 2009 - about 17 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 1629166137 NPPES
Florida Other 17217 BCBS
Florida MEDICAID 1063878 BCBS
Florida Other P00438668 BCBS
Florida MEDICAID 278376200 BCBS

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