Bennett, Demetra

Bennett, Demetra is an sole proprietor health care provider with primary practice located at 930 Marcum Rd Ste 5 , Lakeland FL 33809-4308. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bennett, Demetra can be contacted via phone (863) 940-4886.

Contact Information

Primary practice address
930 Marcum Rd Ste 5 Lakeland FL 33809-4308
Phone: (863) 940-4886
Fax: (863) 816-5769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ARNP9164847 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9164847 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9164847 Florida

Profile Details

NPI number 1184676025
LBN Legal business name Bennett, Demetra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Sep 9th, 2020 - about 4 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 1184676025 NPPES
Florida MEDICAID 306599500

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