Individual provider · Type 1 NPI

Randall C. Bennett, P.A.

Physician Assistant · Jacksonville, FL

NPI number 1134344211 Active

Practice location

9570 Regency Square Blvd
Jacksonville, FL 32225-9103

Call (904) 725-7100 Map

Fax (904) 720-0059

Mailing address

12079 Blackfoot Trl
Jacksonville, FL 32223-3233

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2262 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134344211

Randall C. Bennett, P.A.'s National Provider Identifier is 1134344211, issued on Apr 16, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 25, 2007.