MS. STEPHANIE R BENNETT


Address: 5999 Dundee Rd, Suite 750, Winter Haven, FL 33884-1107
Phone: 8632924077

MS. STEPHANIE R BENNETT (NPI# 1992999270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992999270
Entity Type Individual
Full Name MS. STEPHANIE R BENNETT
Other Name STEPHANIE R MELWANI
Credential PA-C
Practice Address 5999 Dundee Rd
Suite 750
Winter Haven
FL 33884-1107
Mailing Address Po Box 10744
Clearwater
FL 33757-8744
Practice Telephone 8632924077
Practice Fax Number 8632924079
Mailing Telephone 7275320002
Mailing Fax Number 7272664943
Enumeration Date 2007-08-30
Last Update Date 2017-02-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9105981 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 5999 DUNDEE RD
SUITE 750
City WINTER HAVEN
State FL
Zip Code 33884-1107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184999328 Karma Healthcare LLC Pharmacy 5999 Dundee Rd, 200, Winter Haven, FL 33884-1107 2012-03-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154956480 Kristin Helen Kiddy Occupational Therapy Assistant 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 2020-03-06
1871990143 William Santo Specialist/Technologist 9269 Kliber Dr., Winter Haven, FL 33884 2014-12-02
1346656345 Integrative Physical Medicine of Winter Haven LLC Specialist 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 2014-07-10
1568808921 Donald Lurton Arey Jr. Surgery 800 Island Way, Winter Haven, FL 33884 2013-05-13
1407195324 Shena R. Ranon Nurse Practitioner 1820 Woodpointe Dr, Winter Haven, FL 33884 2013-02-13
1952654543 Mpn Medical Center of Dundee Family Medicine 1023 Dundee Road, Winter Haven, FL 33884 2012-10-19
1588941736 Cody Gernatt Occupational Therapist 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 2011-11-15
1851611677 Paulene T Jasurek Pharmacist 4454 Cypress Gardens Rd, Winter Haven, FL 33884 2010-06-03
1306169867 John David Butters Speech-Language Pathologist 208 Escambia Dr., Winter Haven, FL 33884 2010-03-11
1710162813 Humphrey Chiropractic Center, P.a. Chiropractor 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 2008-01-08
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1093187668 Erin Doucey Physician Assistant 1601 6th Street Se, Winter Haven, FL 33880-4605 2015-10-22
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1063886984 Shyam Kumar Rajendra Injety Physician Assistant 200 Avenue F Ne, Winter Haven, FL 33881-4131 2015-11-16
1891760427 Michael David Gross Physician Assistant 400 Avenue K Se, Suite 11, Winter Haven, FL 33880-4146 2006-02-17
1942272802 Kate Gwendolyn Ryals Physician Assistant 560 Avenue K Se, Winter Haven, FL 33880-4203 2006-02-06
1417944000 Eve Johnson Physician Assistant 400 Avenue K Se, Suite 11, Winter Haven, FL 33880-4146 2005-09-29

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1235744582 Stephanie Graham Physician Assistant 1053 Bernice Rd, Rockledge, FL 32955-2201 2020-09-14
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1750990974 Andrea K Webber Physician Assistant 8119 Sw State Rd 200, Ocala, FL 34481-3448 2020-07-23
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Competitor

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City WINTER HAVEN
Zip Code 33884

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Dataset Information

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.

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