Individual
DR. JOHN GORDON BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 WEST AVE, SUITE 825, MIAMI BEACH, FL 33139-4377
(786) 370-3917
Mailing address
1200 WEST AVE, SUITE 825, MIAMI BEACH, FL 33139
(786) 370-3917
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
48950
FL
Other
Enumeration date
12/03/2009
Last updated
04/26/2012
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