DR. CHARLES NELSON BENNETT (NPI# 1659373330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659373330 |
| Entity Type | Individual |
| Full Name | DR. CHARLES NELSON BENNETT |
| Credential | MD |
| Practice Address |
301 S Palm Ave Palatka FL 32177-4143 |
| Practice Telephone | 3863287493 |
| Practice Fax Number | 3863284137 |
| Mailing Telephone | 3863287493 |
| Mailing Fax Number | 3863284137 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2010-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
035737 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 7522348 | 01 |
| FL | 042618100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487052577 | Charles Bennett | Registered Nurse | 3143 S Southwind Dr, Gilbert, AZ 85295-8334 | 2014-12-05 |
| 1225197577 | Charles Michael Bennett | Dentist | 812 S State St, Orem, UT 84097-7026 | 2006-12-06 |
| 1588756795 | Charles V. Bennett Jr. | Obstetrics & Gynecology | 126 Medical Dr., Suite A, Palestine, TX 75801 | 2006-09-28 |
| 1275540429 | Charles Eugene Bennett | Chiropractor | 1033 East 21st Street, Suite 101 Building 100, Wichita, KS 67206-3544 | 2006-08-01 |
| 1386614469 | Charles Williams Bennett | Family Medicine | 11845 Hg Trueman Rd, Lusby, MD 20657-2855 | 2006-01-23 |
| 1821504143 | Charles Archie Bennett Jr. | Hearing Instrument Specialist | 158 S Main St, Woodstock, VA 22664-1423 | 2017-12-22 |
| 1023435500 | Charles Bennett Iv | Anesthesiologist Assistant | 110 Irving St Nw, Washington, DC 20010-3017 | 2014-03-24 |
| 1386936193 | Charles Bennett | Pharmacist | 251 N Main St, Holly Springs, NC 27540-9194 | 2011-05-11 |
| 1407155112 | Charles Raul Bennett | Counselor | 720 W Court St Ste 8, Pasco, WA 99301-4178 | 2011-03-21 |
| 1548452915 | Charles William Bennett | Obstetrics & Gynecology | 30 N Church St, Suite 300, Wailuku, HI 96793-1600 | 2007-08-09 |
| Street Address |
301 S PALM AVE |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710305099 | First Care Inc | Internal Medicine | 301 S Palm Ave, Suite 5, Palatka, FL 32177-4143 | 2014-04-03 |
| 1104819796 | Linda P Johnson-bennett | Internal Medicine | 301 S Palm Ave, Palatka, FL 32177-4143 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619116548 | Jolly Bose | Family Medicine | 400 N State Road 19, Suite 48, Palatka, FL 32177-2482 | 2009-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598105 | Foundations Medical Center Pllc | Family Medicine | 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 | 2020-11-04 |
| 1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
| 1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
| 1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
| 1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
| 1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.