Antonette Bennett
Speech-Language Pathologist, in Sunrise, FL. Individual provider (NPI-1).
NPI number1992415319
StatusActive
Last updated in NPPESNov 28, 2022
Details
- NPI
- 1992415319
- Entity type
- Individual (NPI-1)
- Name
- Antonette Bennett
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2022
- Certification date
- Nov 26, 2022
- Last updated
- Nov 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SA19992 | FL | Yes |
Practice location
10040 Reflections Blvd Apt 106Sunrise, FL 33351-8306
Phone 954-907-1233
Mailing address
12717 W Sunrise Blvd # 237Sunrise, FL 33323-0902
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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