Individual
ROBERT DAVID BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME137739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101057000
—
FL
01
—
D37HF
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/07/2010
Last updated
12/07/2020
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