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Organization
BENNETT W MCALLISTER MD PA
Active
Organization
BENNETT W MCALLISTER MD PA
Active
Other names
Lighthouse Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
BENNETT WILLIAM MCALLISTER MD (OWNER)
(941) 625-5895
Entity
Organization
Contact information
Practice address
4161 TAMIAMI TRL STE 304D, PORT CHARLOTTE, FL 33952-9254
(941) 625-5895
(941) 625-1047
Mailing address
PO BOX 512139, PUNTA GORDA, FL 33951-2139
(941) 625-5895
(941) 625-1047
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME104685
FL
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001284200
—
FL
05
—
114514100
—
FL
Enumeration date
12/03/2009
Last updated
09/10/2026
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