Bennett, Carol A

Bennett, Carol A is an individual health care provider with primary practice located at 1302 River St , Palatka FL 32177-5042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bennett, Carol A can be contacted via phone (386) 328-8371.

Contact Information

Primary practice address
1302 River St Palatka FL 32177-5042
Phone: (386) 328-8371
Fax: (386) 328-1519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1550822 Florida

Profile Details

NPI number 1093813370
LBN Legal business name Bennett, Carol A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 31st, 2013 - about 12 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 1093813370 NPPES
Florida MEDICAID 308868500
Florida Other Y0568

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