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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TINA MALLARD BENNETT, D.C.

Active Sole Proprietor

DR. TINA MALLARD BENNETT, D.C. is a Chiropractor healthcare provider located in PORT ORANGE, Florida. NPI 1457411290 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · PORT ORANGE, FL

Registration Details

NPI Number
1457411290
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2006 (19.672263629157 yrs)
Last Updated
Jul 8, 2007
License
9317 (FL)
Sole Proprietor
Yes

Practice Information

Address
3945 S NOVA RD
PORT ORANGE, FL, 321274910
Browse FL providers · Browse ZIP 32127
Phone
3867671100
Fax
3867671102
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in PORT ORANGE, FL

Name Credential NPI
MINDY A WEINGARTEN D. C. 1164426581
CHRISTOPHER M VARNUM DC 1760459200
DR. MICHAEL SHANE CARTER D.C., M.B.A. 1790717775
RUSSELL SHANNON HUMPHRIES DC 1497769210
MICHAEL W SHREEVE DC 1063427771
CARL HENRY BENNETT DC 1356452254
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.