NPI 1093956526
Benton Pediatrics
Practice location
- Address
- 5612 NW 43rd St, Gainesville, FL 32653-3332
- Phone
- (352) 376-4542
- Fax
- (352) 376-4959
Authorised official
- Name
- Charles Kent Powers
- Title
- Md/Owner
- Phone
- (352) 376-4542
Registered specialties (2)
Mental Illness Community Based Residential Treatment Facility
Primary
Children's Hospital
Registry record
- NPI
- 1093956526
- Entity type
- Organization
- NPI issued
- 12 Mar 2009
- Record last updated
- 17 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.