DR. TARA VANBENNEKOM, DO
Pediatrics
Active
Individual
NPI: 1134226699
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | OS 8054 (FL) |
Frequently Asked Questions
NPI 1134226699 is the National Provider Identifier for DR. TARA VANBENNEKOM, DO, a Pediatrics provider located in St. Augustine, FL. This NPI was enumerated on September 19, 2006.
DR. TARA VANBENNEKOM, DO practices at 304 KINGSLEY LAKE DRIVE, SUITE #603, St. Augustine, FL 32092.
Quick Facts
- NPI
- 1134226699
- Type
- Individual
- Enumerated
- Sep 19, 2006
- Last Updated
- Jul 8, 2007
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