Healthcare Provider Details

I. General information

NPI: 1396365409
Provider Name (Legal Business Name): LINDSEY R. BENNETT, FNP-BC, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2020
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 INDIAN RIVER BLVD STE 400-S
VERO BEACH FL
32960-4299
US

IV. Provider business mailing address

5555 55TH AVE
VERO BEACH FL
32967-2460
US

V. Phone/Fax

Practice location:
  • Phone: 772-206-2262
  • Fax: 888-498-4434
Mailing address:
  • Phone: 772-206-2262
  • Fax: 888-498-4434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDSEY RACHELLE BENNETT
Title or Position: OWNER/PRACTITIONER
Credential: FNP-BC
Phone: 772-206-2262