Individual
DR. BENNETT WILLIAM MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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) 629-1111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME104685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017596500
—
FL
05
—
114514100
—
FL
01
—
CH842Y
MEDICARE PTAN
FL
Enumeration date
03/18/2008
Last updated
04/26/2025
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