Catherine Elizabeth Bennett, APRN | |
3953 S Nova Rd Ste B, Port Orange, FL 32127-4910 | |
(386) 788-4911 | |
(844) 388-6186 |
Full Name | Catherine Elizabeth Bennett |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3953 S Nova Rd Ste B, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356763676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ME99867 (Florida) | Primary |
Entity Name | Conviva Medical Center Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
Mailing Address | Practice Location Address |
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Catherine Elizabeth Bennett, APRN 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (800) 480-5243 | Catherine Elizabeth Bennett, APRN 3953 S Nova Rd Ste B, Port Orange, FL 32127-4910 Ph: (386) 788-4911 |
Holly Anne Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 870 Dunlawton Ave Ste 210a, Port Orange, FL 32127 Phone: 386-518-3671 | |
Olivia Michelle Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127 Phone: 386-271-2273 Fax: 386-271-2274 | |
Lynn Ann Howard, ARNP, PMHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-767-8584 Fax: 386-767-8536 | |
Jay W Butwinick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1730 Dunlawton Ave Ste 1, Port Orange, FL 32127 Phone: 386-320-3299 | |
Margaret M. Thompson, A.R.N.P., M.S.N Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 735 Dunlawton Ave, Port Orange, FL 32127 Phone: 888-808-0488 Fax: 386-872-4232 | |
Kelly S Kiah, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 Woodbriar Trl, Port Orange, FL 32129 Phone: 386-322-4752 | |
Ms. Margaret Leger Ramstad, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1648 Taylor Rd Ste 259, Port Orange, FL 32128 Phone: 386-320-5525 Fax: 386-222-7395 |