Edwards-Bennett, Sophia Mae
Edwards-Bennett, Sophia Mae is an individual health care provider with primary practice located at 1970 Golf St , Sarasota FL 34236-6908. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Edwards-Bennett, Sophia Mae can be contacted via phone (941) 957-1000.Contact Information
Primary practice address
1970 Golf St
Sarasota FL 34236-6908
Phone: (941) 957-1000
Fax: (941) 951-2117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | MD34483 | South Carolina |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | TL34483 | South Carolina |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 24405-1 | New York |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME108066 | Florida |
Profile Details
| NPI number | 1942468426 |
|---|---|
| LBN Legal business name | Edwards-Bennett, Sophia Mae |
| Credentials | MD, PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2008 |
| Last updated | Dec 18th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942468426 | NPPES |
| South Carolina | Other | 4952170 | CIGNA |
| South Carolina | Other | 692677 | CIGNA |
| South Carolina | Other | 80023852 | CIGNA |
| South Carolina | Other | 9322600 | CIGNA |
| South Carolina | Other | P01070951 | CIGNA |
| South Carolina | MEDICAID | 344835 | CIGNA |
| South Carolina | MEDICAID | 5921093 | CIGNA |
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