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

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