Dr. Tara Lorence Vanbennekom
DO | Pediatrics | Female
Dr. Tara Lorence Vanbennekom, DO is a St. Augustine, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Tara Lorence Vanbennekom is
304 Kingsley Lake Drive, Suite #603, St. Augustine, Florida - 32092. She can be contacted on phone at
904-824-5437.
Dr. Tara Lorence Vanbennekom is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Tara Lorence Vanbennekom is
1134226699 which was assigned by NPPES on 19 Sep, 2006 and it was last updated on 08 Jul, 2007.
Dr. Tara Lorence Vanbennekom license number is
OS 8054 for Pediatrics (208000000X) in Florida.
Dr. Tara Lorence Vanbennekom is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Tara Lorence Vanbennekom basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Tara Lorence Vanbennekom |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Dr. Tara Lorence Vanbennekom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 304 Kingsley Lake Drive, Suite #603
St. Augustine, FL, 32092
United States |
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| Phone Number : | 904-824-5437 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134226699 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tara Lorence Vanbennekom are as mentioned. Primary taxonomy code for Dr. Tara Lorence Vanbennekom, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | OS 8054 | FL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 201 St. Johns Forest Blvd
Jacksonville, FL, 32259
United States |
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| Phone Number : | 904-824-5796 |
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Business Location:
Patients can refer following map for directions to
Dr. Tara Lorence Vanbennekom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.