Individual
CHARLES JOSEPH BENNETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
522 N LECANTO HWY, LECANTO, FL 34461-8547
(352) 527-0106
(352) 527-0585
Mailing address
2020 SE 17TH ST, OCALA, FL 34471-4118
(352) 861-0440
(352) 414-4229
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME58888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375141400
—
FL
Enumeration date
05/05/2006
Last updated
10/16/2023
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