Jason L. Vanbennekom in Ponte Vedra - Obstetrics & Gynecology

Jason L. Vanbennekom - NPI 1720040983

Jason L. Vanbennekom is a Obstetrics & Gynecology in Ponte Vedra, Florida. Jason L. Vanbennekom practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Jason L. Vanbennekom is 1720040983. The last update date is 2023-06-23.

Jason L. Vanbennekom's current location address is 400 Colonnade Dr Ste 230, Ponte Vedra, Florida. You can contact this provider via phone number 9046408249 and fax number 9046408250. The mailing address for Jason L. Vanbennekom is 400 Colonnade Dr Ste 230, Ponte Vedra, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason L. Vanbennekom
Address 400 Colonnade Dr Ste 230, Ponte Vedra, Florida
Phone Number 9046408249
Fax Number 9046408250
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1720040983
Provider Enumeration Date 2006-04-04
Last Updated Date 2023-06-23

Provider Mailing Address Detail

Address 400 Colonnade Dr Ste 230
City Ponte Vedra
State Florida (FL)
Post Code 320816237
Phone Number 9046408249
Fax Number 9046408250

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No ME93647
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
273136300 FL --

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FAQs about Jason L. Vanbennekom

What is the Jason L. Vanbennekom's unique identification number?

The Jason L. Vanbennekom has been assigned the NPI (National Provider Identifier) Number 1720040983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Jason L. Vanbennekom is physically located?

The Jason L. Vanbennekom is situated at the following address: 400 Colonnade Dr Ste 230, Ponte Vedra, FL 320816237.

What is Jason L. Vanbennekom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jason L. Vanbennekom is Obstetrics & Gynecology, and the taxonomy code that categorizes this field of expertise is 207V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1720040983 to Jason L. Vanbennekom?

The Centers for Medicare & Medicaid Services assigned the 1720040983 to Jason L. Vanbennekom on 2006-04-04.

When was the information pertaining to Jason L. Vanbennekom most recently updated or revised?

The details related to Jason L. Vanbennekom, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-23.

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