Individual
DR. TARA LORENCE VANBENNEKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
304 KINGSLEY LAKE DRIVE, SUITE #603, ST. AUGUSTINE, FL 32092
(904) 824-5437
Mailing address
201 ST. JOHNS FOREST BLVD, JACKSONVILLE, FL 32259
(904) 824-5796
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS 8054
FL
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us