Female

Johnique C. Bennett M.D.

Family Medicine Physician in Orange Park, FL(View on Map)

Full Name

Johnique C Bennett M.D.

NPI Number

1538519640

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/20/2016

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME136292

Contact
Information

Purpose

Mailing
Location

Address

4205 BELFORT RD STE 4015
2300 PARK AVE STE 205

City

Jacksonville
Orange Park

State

FL
FL

Postal Code

32216-3623
32073

Country

US
US

Telephone Number

N/A
(904) 272-0384

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/02/2019

Provider Address

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