Individual
RICHARD BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1610 NE MIAMI GARDENS DR, NORTH MIAMI BEACH, FL 33179-4900
(305) 940-6016
(305) 940-6167
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(305) 940-6016
(305) 940-6167
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS6507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375022100
—
FL
Enumeration date
10/10/2005
Last updated
09/27/2013
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