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MR. RANDALL C BENNETT P.A.
NPI 1134344211
Physician Assistant in Jacksonville, FL

Active since April 16, 2007
9570 REGENCY SQUARE BLVD, JACKSONVILLE, FL 32225(904) 725-7100(904) 720-0059 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randall C Bennett P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDALL C BENNETT P.A. (NPI 1134344211) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA2262) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1134344211
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RANDALL C BENNETTCredential: P.A.
Location Address9570 REGENCY SQUARE BLVDJacksonville, FL 32225-9103
Mailing Address12079 Blackfoot TrlJacksonville, FL 32223-3233 · (904) 292-9325
Phone(904) 725-7100
Fax(904) 720-0059
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 25, 2007
✔ NPI 1134344211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA2262
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9570 REGENCY SQUARE BLVD, Jacksonville, FL 32225
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Other Identifiers 1

Medicare ID-Type UnspecifiedE4052AFL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MOLLY HUMBLE BLADEN APRN
Nurse Practitioner (Family)
9570 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32225
Duval County (904) 727-9624
HEALTH CARE MANAGEMENT CONSULTING, INC.
Home Health
9570 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32225
Duval County (904) 725-7100
MS. HELENOR B WARD ARNP
Nurse Practitioner
9570 REGENCY SQUARE BLVD, SUITE 305
JACKSONVILLE, FL 32225
Duval County (904) 721-7100
WELCOME HOME HOUSECALLS INC
Physician Assistant
9570 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32225
Duval County (904) 725-7100
WELCOME HOMECARE SLEEP DISORDER CLINICS INC
Clinic/Center (Sleep Disorder Diagnostic)
9570 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32225
Duval County (904) 421-3970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Bennett's NPI number?

The NPI number for Randall Bennett is 1134344211. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Randall Bennett located?

Randall Bennett practices at 9570 Regency Square Blvd, Jacksonville, FL 32225. The listed phone number is (904) 725-7100.

What is Randall Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Randall Bennett was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.