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NPI Code Detail

MEDICARE: DR. MICHAEL JAMES BENTZE DO

MEDICARE: DR. MICHAEL JAMES BENTZE DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS9174FL

General Provider Information

NPI Number : 1407840622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JAMES BENTZE DO
Provider Business Mailing Address
First Line : 11715 RANGELAND PKWY
Second Line :
City : BRADENTON
State : FL
Zip : 34211-9529
Country : US
Telephone Number : 941-538-0001
Fax Number : 941-958-0002
Provider Business Practice Location Address
First Line : 11715 RANGELAND PKWY
Second Line :
City : BRADENTON
State : FL
Zip : 34211-9529
Country : US
Telephone Number : 941-538-0001
Fax Number : 941-538-0002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 10/16/2024

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Directions to “ DR. MICHAEL JAMES BENTZE DO” Practice Location

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