MEDICARE: CHARLES JOSEPH BENNETT JR. M.D.

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
1	2085R0001X	Radiation Oncology Physician	ME58888	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639127095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES JOSEPH BENNETT JR. M.D.

Provider Business Mailing Address
First Line	:	2020 SE 17TH ST
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-4118
Country	:	US
Telephone Number	:	352-861-0440
Fax Number	:	352-414-4229

Provider Business Practice Location Address
First Line	:	522 N LECANTO HWY
Second Line	:
City	:	LECANTO
State	:	FL
Zip	:	34461-8547
Country	:	US
Telephone Number	:	352-527-0106
Fax Number	:	352-527-0585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/16/2023

Similar Medicare Providers

1225807977 — ANDREW SPENCER MCGREEVY APRN, FNP-BC
Practice Location Address:

508 N LECANTO HWY
LECANTO, FL
34461-8547

Practice Phone: 352-689-1252
Practice Fax:

1508826355 — NATURE COAST PEDIATRICS, INC
Practice Location Address:

512 N LECANTO HWY
LECANTO, FL
34461-8547

Practice Phone: 352-527-2244
Practice Fax: 352-527-2204

1659329001 — DR. TIMOTHY A BRANT M.D.
Practice Location Address:

522 N LECANTO HWY
LECANTO, FL
34461-8547

Practice Phone: 352-527-0106
Practice Fax: 352-527-0585

1063469104 — AYMAN ALIBRAHIM M.D.
Practice Location Address:

508 N LECANTO HWY
LECANTO, FL
34461-8547

Practice Phone: 352-746-3336
Practice Fax: 352-746-3305

1912938648 — FLORIDA DRX, LLC
Practice Location Address:

520 N LECANTO HWY
LECANTO, FL
34461-8547

Practice Phone: 352-527-9444
Practice Fax: 352-746-7829

1801906086 — JOHN E POPP MD
Practice Location Address:

540 N LECANTO HWY
LECANTO, FL
34461-8547

Practice Phone: 352-746-2700
Practice Fax: 352-746-4936

Directions to “ CHARLES JOSEPH BENNETT JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.