Bennett, Reggie

Bennett, Reggie is an individual health care provider with primary practice located at 800 Prudential Dr , Jacksonville FL 32207-8202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Bennett, Reggie can be contacted via phone (904) 202-2000.

Contact Information

Primary practice address
800 Prudential Dr Jacksonville FL 32207-8202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 789789989 Georgia

Profile Details

NPI number 1568240307
LBN Legal business name Bennett, Reggie
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2023
Last updated Sep 21st, 2023 - about 2 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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