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

Mr. Randall C Bennett, PA

Individual provider Physician Assistant · NPI 1134344211

Mr. Randall C Bennett, PA is a Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9570 Regency Square Blvd
Jacksonville, FL 32225-9103
Phone: (904) 725-7100
Fax: (904) 720-0059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2262 (FL)

Record details

NPI number1134344211
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESJuly 25, 2007
Mailing address12079 Blackfoot Trl, Jacksonville, FL 32223-3233

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