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DR. CHARLES NELSON BENNETT MD

Adult Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1659373330

Individual Registrant:
DR. CHARLES NELSON BENNETT MD
Gender: M
Sole Proprietor

Location and contact information for practice:
301 S PALM AVE  PALATKA, FL 32177-4143 US
Tel: 386-328-7493  Fax: 386-328-4137

Contact information for business:
301 S PALM AVE  PALATKA, FL 32177-4143 US
Tel: 386-328-7493  Fax: 386-328-4137

Registration Information:
NPI: 1659373330
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QA0505XAllopathic & Osteopathic Physicians
Family Medicine
Adult Medicine
FL035737

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA7522348FL01
042618100FL05




HEALTH CARE JOBS FL - Page 1



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