ERWIN BENNETT

SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC

Dr ERWIN BENNETT is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2009.

Contact

SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC

6007 BERRYHILL RD
MILTON
FL
325704008

Tel: 8506267762

ERWIN BENNETT Information

Npi 1811216518
Pac Id 6507159373
Professional Enrollment Id I20181219002264
Last Name BENNETT
First Name ERWIN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SANTA ROSA HMA PHYSICIAN MANAGEMENT, LLC
Group Practice Pac Id 1658478532
Number Of Group Practice Members 27
Line 1 Street Address 6007 BERRYHILL RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MILTON
State FL
Zip Code 325704008
Phone Number 8506267762
Hospital Affiliation Ccn 1 100124
Hospital Affiliation Lbn 1 SANTA ROSA MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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