Bennett, Miles Clark

Bennett, Miles Clark is an individual health care provider with primary practice located at 500 Winderley Pl Suite 115, Maitland FL 32751-7247. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bennett, Miles Clark can be contacted via phone (407) 875-0555.

Contact Information

Primary practice address
500 Winderley Pl Suite 115 Maitland FL 32751-7247
Phone: (407) 875-0555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X OS10955 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS10955 Florida

Profile Details

NPI number 1972761369
LBN Legal business name Bennett, Miles Clark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Oct 10th, 2011 - about 13 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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