Thomas Bb Benton, MD
Pediatrics in Gainesville, FL. Individual provider (NPI-1).
NPI number1891766580
StatusActive
Last updated in NPPESSep 8, 2021
Details
- NPI
- 1891766580
- Entity type
- Individual (NPI-1)
- Name
- Thomas Bb Benton
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2006
- Certification date
- Sep 8, 2021
- Last updated
- Sep 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME53353 | FL | Yes |
Practice location
5612 Nw 43rd StGainesville, FL 32653-3332
Phone 352-376-4542 · Fax 352-376-4959
Mailing address
3300 S Fiske BlvdRockledge, FL 32955-4306
Phone 352-376-4542
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