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Individual
SUSAN S BENGTSSON
Active
Individual
SUSAN S BENGTSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN742462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013683B
HUMANA
FL
05
—
301807500
—
FL
Enumeration date
11/17/2005
Last updated
10/27/2017
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