Individual
JASON L. VANBENNEKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 COLONNADE DR STE 230, PONTE VEDRA, FL 32081-6237
(904) 640-8249
(904) 640-8250
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME93647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273136300
—
FL
Enumeration date
04/04/2006
Last updated
06/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us