Individual
RODERICK NEAL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15010 LONGS LN, PUNTA GORDA, FL 33982-2700
(813) 819-3669
Mailing address
15010 LONGS LN, PUNTA GORDA, FL 33982-2700
(813) 819-3669
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200060
LA
207P00000X
Emergency Medicine Physician
Primary
ME98577
FL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
ME98577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063878
—
LA
01
—
17217
BCBS
FL
05
—
278376200
—
FL
01
—
P00438668
RR MEDICARE
FL
Enumeration date
10/10/2006
Last updated
02/18/2026
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