Individual
DR. ALAN BENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14055 RIVEREDGE DR STE 250, TAMPA, FL 33637-2141
(813) 929-5451
Mailing address
14055 RIVEREDGE DR STE 250, TAMPA, FL 33637-2141
(813) 929-5451
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 98578
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME98578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026660346
NY MEDICAID
NY
01
—
769T51
NY MEDICARE
NY
Enumeration date
06/23/2006
Last updated
02/24/2025
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