Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROOSEVELT BENNETT JR., AA-C
ActiveMR. ROOSEVELT BENNETT JR., AA-C is a Anesthesiologist Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1184900177 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1184900177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2011 (14.781957811656 yrs)
- Last Updated
- Jan 9, 2017
- License
-
AA100 (FL)
Practice Information
- Address
-
807 CHILDRENS WAYNEMOURS CHILDRENS SPECIALTY CARE, JACKSONVILLEJACKSONVILLE, FL, 322078426Browse FL providers · Browse ZIP 32207
- Phone
- 9046973600
- Fax
- 9046973927
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
Other Anesthesiologist Assistant Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. EMILY G HEFFINGER | CAA | 1992761795 |
| MR. CHRISTOPHER R CRERAR | CRNA | 1598801979 |
| KARYN DENISE TAYLOR | PA-C, AA-C | 1972789675 |
| MR. BRIAN JASON MCWILLIAMS | AA-C | 1528291697 |
| TIMOTHY LAVERN VORST | MS-C | 1588897623 |
| MR. MIGUEL MANCAO III | — | 1194003228 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.