NPI 1972754844

Reginald Theophilus Bennett

Practitioner Orthotist Gainesville, FL

Practice location

Address: 1601 SW Archer Rd, Gainesville, FL 32608-1135
Phone: (352) 376-1611
Fax: (352) 271-4534

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1972754844
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Oct 2008
Record last updated: 9 Oct 2008

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.