Bennett W Mcallister Md Pa

LBN: Bennett W Mcallister Md Pa
Bennett W Mcallister Md Pa is an health care organization with primary practice located at 4161 Tamiami Trl Ste 304D , Port Charlotte FL 33952-9254. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Bennett W Mcallister Md Pa can be contacted via phone (941) 625-5895, or through Mcallister, Bennett William via phone (941) 625-5895.

Contact Information

Primary practice address
4161 Tamiami Trl Ste 304D Port Charlotte FL 33952-9254
Phone: (941) 625-5895
Fax: (941) 625-1047
Website:
Map and Directions
Authorized official contact:
Name: Mcallister, Bennett William Doctor of Medicine (MD)
Phone: (941) 625-5895

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME104685 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1104154053
LBN Legal business name Bennett W Mcallister Md Pa
DBA Doing business as
Authorized official Mcallister, Bennett William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2009
Last updated Feb 26th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104154053 NPPES
Florida MEDICAID 001284200
Florida MEDICAID 114514100

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