Individual provider Active NPI

Lorna Odette Bennett, MD

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1285675330
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME91225 Issued in FL
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 975-0412
Fax
(407) 975-0413
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME91225 FL Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

425 Citrus Tower Blvd Ste 104
Clermont, FL 34711-6113
Phone (352) 404-7728

Other practice location 1

425 Citrus Tower Blvd Ste 104
Clermont, FL 34711-6113
Phone (352) 404-7728

Other identifiers 2

IdentifierTypeStateIssuer
270887600MedicaidFL
03426OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME91225FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Pediatrics, LLC Pediatrics CurrentSince Jun 29, 2025 Accepting new patients

Locations

499 E Central Pkwy
Ste 235
Altamonte Springs, FL 32701
Phone (352) 404-7728

425 Citrus Tower Blvd
Ste 104
Clermont, FL 34711
Phone (352) 404-7728

365 Citrus Tower Blvd
Ste 104
Clermont, FL 34711
Phone (352) 404-7728

Interoperability endpoints

  • Direct secure messaging: lorena.bennet.1@21289.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1285675330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CITRUS TOWER BLVD STE 104",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116113",
            "telephone_number": "352-404-7728",
            "fax_number": "352-404-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-975-0412",
            "fax_number": "407-975-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Citrus Tower Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116113",
            "country_code": "US",
            "telephone_number": "352-404-7728",
            "fax_number": "352-404-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LORNA",
        "middle_name": "ODETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME91225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270887600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03426",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.