Bennett, Richard

Bennett, Richard is an individual health care provider with primary practice located at 1610 Ne Miami Gardens Dr , North Miami Beach FL 33179-4900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bennett, Richard can be contacted via phone (305) 940-6016.

Contact Information

Primary practice address
1610 Ne Miami Gardens Dr North Miami Beach FL 33179-4900
Phone: (305) 940-6016
Fax: (305) 940-6167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS6507 Florida

Profile Details

NPI number 1780672238
LBN Legal business name Bennett, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Sep 27th, 2013 - about 11 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 1780672238 NPPES
Florida MEDICAID 375022100

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