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Contact Information

RODERICK N BENNETT, MD
15010 LONGS LN
PUNTA GORDA, FL33982-2700
 Phone: 813-819-3669
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for RODERICK N BENNETT · (Male)

NPI # 1629166137
Status Active
Credentials MD
Entity Individual
Enumeration date 10/10/2006
Last updated 02/18/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME98577
  • LA License # 200060
  • FL Medicaid 278376200
  • LA Medicaid 1063878
  • FL Other 17217 BCBS
  • FL Other P00438668 RR MEDICARE
Hospital affiliation(s)
  • BROOKSVILLE REGIONAL HOSPITAL - (Acute Care)
    17240 CORTEZ BLVD
    BROOKSVILLE, FL 34601
  • SEVEN RIVERS REGIONAL MEDICAL CENTER - (Acute Care)
    6201 N SUNCOAST BLVD
    CRYSTAL RIVER, FL 34428
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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