# DONNA C. BENNETT, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285618629
- **Authorized official:** DONNA C. BENNETT MD (OWNER)
- **Authorized official phone:** (850) 475-0007

## Contact information

- **Practice address:** 4220 N DAVIS HWY, BUILDING A, SUITE 100, PENSACOLA, FL 32503-2752
- **Practice address phone:** (850) 475-0007
- **Practice address fax:** (850) 475-1309
- **Mailing address:** 4220 N DAVIS HWY, BUILDING A, SUITE 100, PENSACOLA, FL 32503-2752
- **Mailing address phone:** (850) 475-0007
- **Mailing address fax:** (850) 475-1309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 08/22/2020
