Search › Florida › 208000000X
Tara Vanbennekom, DO
NPI 1134226699 · on the registry since 2006
Practice
- Address
- 304 Kingsley Lake Drive
Suite #603
St. Augustine, FL 32092 - Phone
- (904) 824-5437
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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