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Search › Florida › 207Q00000X

Jake Bennett, MD

NPI 1063093425 · on the registry since 2021

Practice

Address
12780 Race Track Rd
Tampa, FL 33626
Phone
(813) 321-6262
Fax
(813) 443-8150
Organisation at this address
Shim Medical, Llc
Baycare Medical Group Inc
Baycare Medical Group Inc
Baycare Medical Group Inc
Baycare Behavioral Health Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida