Organization
FLORIDA ORTHOPAEDIC TRAUMA SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BENNETT MD (MGR)
(727) 868-5222
Entity
Organization
Contact information
Practice address
7544 JACQUE RD, HUDSON, FL 34667-7162
(727) 868-5222
Mailing address
7544 JACQUE RD, HUDSON, FL 34667-7162
(727) 868-5222
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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