Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason L. Vanbennekom, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1720040983

Jason L. Vanbennekom, MD is an Obstetrics/Gynecology in Ponte Vedra, Florida. Graduated from University of Michigan Medical School in 1992, 34 years ago. Practices with Womens Care Florida LLC, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
34
Trained at
University of Michigan Medical School
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237
Phone: (904) 640-8249
Fax: (904) 640-8250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14546 Old Saint Augustine Rd Ste 305&311, Jacksonville, FL 32258-5468 — (904) 260-2255

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME93647 (FL)

Record details

NPI number1720040983
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1992 (34 years in practice)
Group practice Womens Care Florida Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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